Individual
JOHN THOMAS FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4891 E MAIN ST, ERIN, TN 37061-4115
(931) 289-4201
(931) 289-1947
Mailing address
50 HUNTER LN, ERIN, TN 37061-4169
(931) 289-9189
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5567
TN
Other
Enumeration date
05/22/2023
Last updated
06/09/2025
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