Organization
FACULTY INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DAWN LESTER (BILLING MANAGER)
(865) 288-1548
Entity
Organization
Contact information
Practice address
11440 PARKSIDE DR, SUITE 302, KNOXVILLE, TN 37934-2658
(865) 218-9220
(865) 218-3332
Mailing address
11440 PARKSIDE DR, SUITE 302, KNOXVILLE, TN 37934-2658
(865) 544-9740
(865) 377-1002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3623639
—
TN
Enumeration date
02/02/2007
Last updated
10/01/2014
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