Healthcare Provider Details

I. General information

NPI: 1124346564
Provider Name (Legal Business Name): LESLEY LITTRELL STARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 COOL SPRINGS BLVD STE 200
FRANKLIN TN
37067-6450
US

IV. Provider business mailing address

PO BOX 400
JACKSON TN
38302-0400
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-1881
  • Fax: 615-771-0050
Mailing address:
  • Phone: 731-423-8697
  • Fax: 731-425-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number51254
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: