Faculty Internal Medicine

LBN: Faculty Internal Medicine
Faculty Internal Medicine is an health care organization with primary practice located at 4005 Fountain Valley Dr Suite 305, Knoxville TN 37918-5327. 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 can be contacted via phone (865) 925-9020, or through Chambers, Crystal Dawn via phone (865) 288-1548.

Contact Information

Primary practice address
4005 Fountain Valley Dr Suite 305 Knoxville TN 37918-5327
Phone: (865) 925-9020
Fax: (865) 377-1042
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Crystal Dawn
Phone: (865) 288-1548

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1225176514
LBN Legal business name Faculty Internal Medicine
DBA Doing business as
Authorized official Chambers, Crystal Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 22nd, 2020 - about 4 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 1225176514 NPPES
Tennessee MEDICAID 3723629

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