Individual
CHARLES SAMUEL FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E ECONOMY ROAD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 587-1729
Mailing address
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 587-1729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD014379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024632
BLUE CROSS
TN
01
—
070000633
RAILROAD MEDICARE
GA
05
—
3715864
—
TN
01
—
TN0102
JOHN DEERE HEALTH
TN
Enumeration date
05/17/2006
Last updated
01/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us