Organization Name: | FACULTY INTERNAL MEDICINE, PLLC |
NPI Number: | 1265457113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL S. ELY (MANAGING PARTNER) |
Mailing Address: | 11440 Parkside Dr Suite 302 Knoxville |
State: | TN US |
Postal Code: | 379342658 |
Phone Number: | 8652881548 |
Fax Number: | 8653771002 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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. |