Organization Name: | FACULTY INTERNAL MEDICINE |
NPI Number: | 1225176514 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL DAWN CHAMBERS (BILLING MANAGER) |
Mailing Address: | 4005 Fountain Valley Dr Suite 305 Knoxville |
State: | TN US |
Postal Code: | 379185327 |
Phone Number: | 8659259020 |
Fax Number: | 8653771042 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |