Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Internal Medicine Jefferson City
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA B. MARQUART (VICE PRESIDENT)
(865) 305-9886
Entity
Organization
Contact information
Practice address
1413 RUSSELL AVE, JEFFERSON CITY, TN 37760-2562
(865) 670-6199
(865) 670-6188
Mailing address
PO BOX 440476, NASHVILLE, TN 37244-0476
(865) 670-6199
(865) 670-6188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521415
—
TN
Enumeration date
10/07/2010
Last updated
06/10/2011
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