| Dr Charles R Lull, MD | |
|
935 Wayne Rd, Savannah, TN 38372-1937 | |
| (504) 889-0347 | |
| (504) 779-9741 |
| Full Name | Dr Charles R Lull |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 935 Wayne Rd, Savannah, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790849180 | NPI | - | NPPES |
| 132751 | Other | TN | FEDERAL BLACK LUNG |
| 3029154 | Other | TN | BLUE CROSS |
| 3093872 | Medicaid | TN | |
| 1640237 | Other | TN | UNITED HEALTHCARE |
| 300067251 | Other | TN | RAILROAD MEDICARE |
| 5001678 | Other | TN | MEMPHIS MANAGED CARE TLC |
| 000000118528 | Other | TN | UNISON HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000007740 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Lull, MD 155 Willow St, Savannah, TN 38372-3690 Ph: (504) 889-0347 | Dr Charles R Lull, MD 935 Wayne Rd, Savannah, TN 38372-1937 Ph: (504) 889-0347 |
James Henry Algeo Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 935 Wayne Rd, Savannah, TN 38372 Phone: 952-595-1100 Fax: 612-294-4903 |