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:
Map and Directions
Authorized official contact:
Name: Fullerton, Randy Doctor of Medicine (MD)
Phone: (615) 284-7900

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477532729 NPPES
Tennessee MEDICAID 105694

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