Dr. John David Tullos
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
127 Crestview Park Dr Ste 204
Dickson
, Tennessee 37055-2856
Dr. John David Tullos
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
127 Crestview Park Dr Ste 204
Dickson
, Tennessee 37055-2856
(615) 446-1357
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John David Tullos
- 127 Crestview Park Dr Ste 209
- Dickson, TN
- Zip : 37055-2856
- Fax : (615) 446-1357
- Phone : (615) 446-5121
Second Address
- Dr. John David Tullos
- 127 Crestview Park Dr Ste 204
- Dickson, TN
- Zip : 37055-2856
- Fax : (615) 441-4505
- Phone : (615) 441-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 54403 | TN |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 54403 | TN |
National Provider Identifier
| NPI | 1104138908 |
|---|---|
| Provider Name | Dr. John David Tullos |
| First Address | Dickson, TN 37055-2856 |
| Second Address | Dickson, TN 37055-2856 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2010 |
| Last Update Date | 09/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q022567 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.