Fullerton Medical Group
LBN: Fullerton Medical Group
Fullerton Medical Group is an health care organization with primary practice located at 2021 Church St Suite 504, Nashville TN 37203-2021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Fullerton Medical Group can be contacted via phone (615) 284-7900, or through Fullerton, Randy via phone (615) 284-7900.
Contact Information
Primary practice address
2021 Church St Suite 504
Nashville TN 37203-2021
Phone: (615) 284-7900
Fax: (615) 284-3488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
NPI number | 1477532729 |
---|---|
LBN Legal business name | Fullerton Medical Group |
DBA Doing business as | |
Authorized official | Fullerton, Randy Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 14th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477532729 | NPPES |
Tennessee | MEDICAID | 105694 |
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