Fussell, Corey

Fussell, Corey is an individual health care provider with primary practice located at 200 New York Ave Ste 150 , Oak Ridge TN 37830-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fussell, Corey can be contacted via phone (865) 835-5850.

Contact Information

Primary practice address
200 New York Ave Ste 150 Oak Ridge TN 37830-5227
Phone: (865) 835-5850
Fax: (865) 374-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 76469 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 82311 Georgia

Profile Details

NPI number 1497103824
LBN Legal business name Fussell, Corey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated Mar 5th, 2026 - about 8 months 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 1497103824 NPPES
Tennessee MEDICAID Q042768

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