Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Samuel Fulk

Individual provider Specialist · NPI 1801848668

Charles Samuel Fulk is a Dermatology in Morristown, Tennessee. Graduated from Wake Forest University School of Medicine in 1973, 53 years ago. Practices with Lakeway Dermatology Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
53
Trained at
Wake Forest University School of Medicine
Licensed in
TN
In the registry since
2006
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Practice location Address checks out

400 E Economy Rd Ste 8
Morristown, TN 37814-3388
Phone: (423) 587-4600
Fax: (423) 587-1729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD014379 (TN)

Record details

NPI number1801848668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 2, 2015
Mailing address400 E Economy Rd, Suite 8, Morristown, TN 37814-3388

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Group practice Lakeway Dermatology Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Morristown