# UNIVERSITY OF TENNESSEE AT MEMPHIS

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

## Provider details

- **NPI number:** 1780851469
- **Authorized official:** AARON HAYNES (DIRECTOR OF OFFICE OF GME)
- **Authorized official phone:** (901) 448-5364

## Contact information

- **Practice address:** 920 MADISON AVE SUITE C50, UT COLLEGE OF MEDICINE, MEMPHIS, TN 38163-0001
- **Practice address phone:** (901) 448-5364
- **Mailing address:** 920 MADISON AVE SUITE C50, UT COLLEGE OF MEDICINE, MEMPHIS, TN 38163
- **Mailing address phone:** (901) 448-5364

## 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:** 05/13/2008
- **Last updated:** 05/13/2008