Individual provider · Type 1 NPI

Brogan Fulks, MD

Student in an Organized Health Care Education/Training Program · Knoxville, TN

NPI number 1821522038 Active

Practice location

1928 Alcoa Hwy, Pob-B #127
Knoxville, TN 37920-1502

Call (865) 305-8787 Map

Fax (865) 305-8261

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821522038

Brogan Fulks, MD's National Provider Identifier is 1821522038, issued on Apr 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Knoxville, TN. The record was last updated on Jun 21, 2017.