Organization
UCFA PHYSICIANS NETWORK GROUP OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEO S STEPHENS (CHIEF OF THE OFFICE ON HEALTHCARE)
(423) 271-9911
Entity
Organization
Contact information
Practice address
8930 CROSS PARK DR, KNOXVILLE, TN 37923-4713
(423) 271-9911
Mailing address
223 HIAWASSEE AVE, KNOXVILLE, TN 37917-4933
(423) 271-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
04/26/2021
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