CARLA T LEE (NPI# 1285664623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285664623 |
Entity Type | Individual |
Full Name | CARLA T LEE |
Credential | MD |
Practice Address |
4120 Thornton Taylor Pkwy Ste F Fayetteville TN 37334-2292 |
Mailing Address |
1518 Sweetbriar Ave Nashville TN 37212-5525 |
Practice Telephone | 9314348109 |
Mailing Telephone | 6155258008 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | MD41232 | TN | Allopathic & Osteopathic Physicians |
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
MD41232 | TN | Allopathic & Osteopathic Physicians |
Y | 2083A0300X | 41232 | TN |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3188100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
222 22nd Ave N, Suite 100, Nashville, TN 372031852 | 6155642971 | 6159163879 |
222 22nd Ave N, Nashville, TN 372031852 | 6292552173 | 6292554057 |
66 Sunrise Park, Winchester, TN 373982345 | 9315818960 | |
161 Mose Dr, Sparta, TN 385831502 | 9317392583 | |
105 Ledford Mill Rd Ste B, Tullahoma, TN 373888262 | 9318413314 | |
313 N Horton Pkwy, Chapel Hill, TN 370343307 | 9313643832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487285789 | Carla James Lee | Counselor | 203 East St, Easthampton, MA 01027-1234 | 2020-01-27 |
1588826986 | Carla Lee | Counselor | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-26 |
1639103096 | Carla Rae Lee | Nurse Practitioner | 1272 Walnut St, Dawson, MN 56232-2333 | 2006-07-10 |
1558392803 | Carla A. Lee | Nurse Practitioner | 8415 E 32nd St N, Wichita, KS 67226-2607 | 2006-07-05 |
1043288244 | Carla P Lee | Nurse Anesthetist, Certified Registered | 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | 2006-03-14 |
1922088202 | Carla B. Lee | Family Medicine | 300 E. Hospital Rd, Meb/ides, Fort Gordon, GA 30905-5741 | 2006-01-20 |
Street Address |
4120 THORNTON TAYLOR PKWY STE F |
City | FAYETTEVILLE |
State | TN |
Zip Code | 37334-2292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
Find all providers in zip 37334 |
City | FAYETTEVILLE |
Zip Code | 37334 |
Please comment or provide details below to improve the information on CARLA T LEE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.