Individual
DR. LEE EDWIN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6005 PARK AVE STE 702, MEMPHIS, TN 38119-5217
(901) 682-7241
(901) 682-7243
Mailing address
6005 PARK AVE STE 702, MEMPHIS, TN 38119-5217
(901) 682-7241
(901) 682-7243
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD0000028255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3803983
—
TN
Enumeration date
07/04/2006
Last updated
03/04/2020
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