Individual
BRIAN EDWARD FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6107 PINEWOOD RD, NUNNELLY, TN 37137-2523
(888) 852-6672
(305) 891-4228
Mailing address
30 BURTON HILLS BLVD, SUITE 375, NASHVILLE, TN 37215-6140
(615) 327-4877
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD51960
TN
2084P0800X
Psychiatry Physician
Primary
MD51960
TN
Other
Enumeration date
04/19/2011
Last updated
05/22/2020
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