Individual
DR. JOHN DAVID TULLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 CRESTVIEW PARK DR STE 204, DICKSON, TN 37055-2856
(615) 441-4545
(615) 441-4505
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1359
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
54403
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
54403
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022567
—
TN
Enumeration date
07/08/2010
Last updated
03/17/2022
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