Organization
UNIVERSITY OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TERESA FOUNTAIN MD (INTERN)
(801) 671-0933
Entity
Organization
Contact information
Practice address
60 HARBOR TOWN SQ, MEMPHIS, TN 38103-8850
(801) 671-0933
Mailing address
60 HARBOR TOWN SQ, MEMPHIS, TN 38103-8850
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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