Individual
DR. COREY FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830-5227
(865) 835-5850
(865) 374-1115
Mailing address
200 NEW YORK AVE STE 150, OAK RIDGE, TN 37830-5227
(865) 835-5850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
76469
TN
207Q00000X
Family Medicine Physician
Primary
82311
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042768
—
TN
Enumeration date
05/26/2016
Last updated
03/05/2026
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