# UT MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174872295
- **Authorized official:** MS. MARILYN MUIRHEAD NNP-BC (NEONATAL NURSE PRACTITIONER)
- **Authorized official phone:** (901) 545-7366

## Contact information

- **Practice address:** 853 JEFFERSON AVE, ROOM 201, MEMPHIS, TN 38103-2807
- **Practice address phone:** (901) 545-7366
- **Mailing address:** 179 EASTLAND DR, MEMPHIS, TN 38111-6930
- **Mailing address phone:** (901) 761-2979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | 8199402 | TN | Yes |

## Other

- **Enumeration date:** 09/05/2012
- **Last updated:** 09/05/2012