Provider Demographics
NPI:1881154052
Name:DANIELS, EMILY ELY (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ELY
Last Name:DANIELS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11440 PARKSIDE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2662
Mailing Address - Country:US
Mailing Address - Phone:865-218-9220
Mailing Address - Fax:865-218-3331
Practice Address - Street 1:11440 PARKSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2662
Practice Address - Country:US
Practice Address - Phone:865-218-9220
Practice Address - Fax:865-218-3331
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4508207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program