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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