Dr BRIAN MD FULLWOOD is a male medical professional, specializing in Family Medicine. He graduated in 2015.
WEST TENNESSEE MEDICAL GROUP, INC
270 E COURT AVE
SUITE B
SELMER
TN
383750000
Tel: 7316457932
| Npi | 1487048880 |
| Pac Id | 0143533729 |
| Professional Enrollment Id | I20180821001633 |
| Last Name | FULLWOOD |
| First Name | BRIAN |
| Middle Name | MD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Group Practice Pac Id | 3971781006 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 270 E COURT AVE |
| Line 2 Street Address | SUITE B |
| Marker Of Address Line 2 Suppression | |
| City | SELMER |
| State | TN |
| Zip Code | 383750000 |
| Phone Number | 7316457932 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 250009 |
| Hospital Affiliation Lbn 2 | MAGNOLIA REGIONAL HEALTH CENTER |
| Hospital Affiliation Ccn 3 | 440109 |
| Hospital Affiliation Lbn 3 | HARDIN MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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