Tully, Brian T.

Tully, Brian T. is an individual health care provider with primary practice located at 120 Akers Farm Rd , Christiansburg VA 24073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tully, Brian T. can be contacted via phone (540) 382-3440.

Contact Information

Primary practice address
120 Akers Farm Rd Christiansburg VA 24073
Phone: (540) 382-3440
Fax: (540) 382-7240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101262638 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X D0066144 Maryland

Profile Details

NPI number 1649314311
LBN Legal business name Tully, Brian T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649314311 NPPES
Virginia MEDICAID 1649314311

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