Healthcare Provider Details
I. General information
NPI: 1548388408
Provider Name (Legal Business Name): JAMES H. LINDSAY, JR, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2908 TAZEWELL PIKE SUITE A-D
KNOXVILLE TN
37918-1878
US
IV. Provider business mailing address
PO BOX 5896
KNOXVILLE TN
37928-0896
US
V. Phone/Fax
- Phone: 865-862-5608
- Fax: 865-982-5185
- Phone: 865-862-5608
- Fax: 865-982-5185
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | 16255 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
JAMES
HAZZARD
LINDSAY
JR.
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 865-862-5608