Faculty Internal Medicine Pllc

LBN: Faculty Internal Medicine Pllc
Faculty Internal Medicine Pllc is an health care organization with primary practice located at 11440 Parkside Dr Suite 302, Knoxville TN 37934-2658. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Faculty Internal Medicine Pllc can be contacted via phone (865) 218-9220, or through Lester, Crystal Dawn via phone (865) 288-1548.

Contact Information

Primary practice address
11440 Parkside Dr Suite 302 Knoxville TN 37934-2658
Phone: (865) 218-9220
Fax: (865) 218-3332
Website:
Map and Directions
Authorized official contact:
Name: Lester, Crystal Dawn
Phone: (865) 288-1548

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417095308
LBN Legal business name Faculty Internal Medicine Pllc
DBA Doing business as
Authorized official Lester, Crystal Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 1st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417095308 NPPES
Tennessee MEDICAID 3623639

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