Provider Demographics
NPI:1316958044
Name:MCCARTNEY, LESTER DALE (MD)
Entity type:Individual
Prefix:
First Name:LESTER
Middle Name:DALE
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 NEW HOPE LOOP
Mailing Address - Street 2:
Mailing Address - City:WHITWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37397-3620
Mailing Address - Country:US
Mailing Address - Phone:423-949-7107
Mailing Address - Fax:423-949-6140
Practice Address - Street 1:144 MEDICAL CENTER DRIVE.
Practice Address - Street 2:
Practice Address - City:COPPERHILL
Practice Address - State:TN
Practice Address - Zip Code:37317
Practice Address - Country:US
Practice Address - Phone:423-496-8150
Practice Address - Fax:423-496-7095
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN 26920207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E88192Medicare UPIN