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Organization
UTM OF GEORGIA PHYSICIANS LLC
Active
Organization
UTM OF GEORGIA PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY BLANK (CFO)
(615) 988-2005
Entity
Organization
Contact information
Practice address
400 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-3847
(615) 988-2009
Mailing address
30 BURTON HILLS BLVD STE 175, NASHVILLE, TN 37215-6403
(615) 988-2009
(615) 250-9773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/02/2019
Last updated
05/05/2023
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