# UT COLLEGE OF MEDICINE

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

## Provider details

- **NPI number:** 1417268285
- **Authorized official:** MRS. SUSAN L ANDREWS MBA (INTERNAL MEDICINE RESIDENCY COORDIN)
- **Authorized official phone:** (901) 448-5704

## Contact information

- **Practice address:** 920 MADISON AVE STE C50, MEMPHIS, TN 38103-3493
- **Practice address phone:** (901) 448-5364
- **Mailing address:** 3043 OVERBROOK DR, MEMPHIS, TN 38128-4612
- **Mailing address phone:** (501) 944-1849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2010
- **Last updated:** 06/28/2010
