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Organization
ST MARYS OBGYN LLC
Active
Organization
ST MARYS OBGYN LLC
Active
Parent organization
ST. MARY'S HEALTH SYSTEM, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S HEALTH SYSTEM, INC
Authorized official
MRS. DEBRA K LONDON (CHIEF EXECUTIVE OFFICER)
(865) 545-7558
Entity
Organization
Contact information
Practice address
120 HOSPITAL DR, SUITE 250, JEFFERSON CITY, TN 37760-5279
(865) 471-2644
(865) 471-2649
Mailing address
900 EAST OAK HILL AVENUE, KNOXVILLE, TN 37917-4556
(865) 545-8000
(865) 545-3105
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/24/2006
Last updated
08/07/2009
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