Individual
DR. LEE CONGLETON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7557 DANNAHER DR STE 230, POWELL, TN 37849-3563
(865) 938-5222
(865) 938-5264
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000020494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020253199
EEOICP
TN
01
—
1669416442
GROUP NPI
TN
05
—
3052785
—
TN
01
—
3106070
BLUE CROSS
TN
01
—
3106079
BLUE CROSS
TN
01
—
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
04/16/2025
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