Individual
CRISTY GILLESPIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 926-6266
(423) 926-7599
Mailing address
PO BOX 5576, JOHNSON CITY, TN 37602-5576
(423) 926-6266
(423) 926-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29870
TN
207Q00000X
Family Medicine Physician
Primary
MD29870
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3842860
—
TN
Enumeration date
08/13/2006
Last updated
03/18/2014
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