# UNIVERSITY HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UT Family Physicians LaFollette
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477937712
- **Authorized official:** CYNTHIA B MARQUART (VICE PRESIDENT)
- **Authorized official phone:** (865) 251-4346

## Contact information

- **Practice address:** 109 INDEPENDENCE LN, STE 300, LA FOLLETTE, TN 37766-3033
- **Practice address phone:** (423) 566-0958
- **Practice address fax:** (423) 566-0962
- **Mailing address:** PO BOX 440134, NASHVILLE, TN 37244-0134
- **Mailing address phone:** (865) 670-6199
- **Mailing address fax:** (865) 670-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |

## Other

- **Enumeration date:** 07/16/2015
- **Last updated:** 07/22/2015