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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JANE FULLWOOD, MD

Active

MARY JANE FULLWOOD, MD is a Family Medicine healthcare provider located in SELMER, Tennessee. NPI 1306208954 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SELMER, TN

Registration Details

NPI Number
1306208954
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2016 (10.252024649354 yrs)
Last Updated
Dec 22, 2023
License
56645 (TN)

Practice Information

Address
832 MULBERRY AVE
SELMER, TN, 383752334
Browse TN providers · Browse ZIP 38375
Phone
7314340200
Fax
7314340203
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SELMER, TN

Name Credential NPI
WILLIAM RYAN BARTZ D.O. 1063450237
JAMES DARREL KING M.D. 1144256157
WILLIAM ANDREW EASON M.D. 1821025867
BRIAN FULLWOOD MD 1487048880
SARAH BERGMAN DO 1114505666
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.