Individual provider · Type 1 NPI

Timothy Michael Fullagar, MD

Neurological Surgery Physician · Johnson City, TN

NPI number 1629088364 Active

Practice location

701 Med Tech Pkwy, Suite 300
Johnson City, TN 37604-2365

Call (423) 232-8301 Map

Fax (423) 232-8304

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X41401 (TN)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1629088364

Timothy Michael Fullagar, MD's National Provider Identifier is 1629088364, issued on Aug 8, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 28, 2011.