Organization
UT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY KNOP LOVE (VP OF ORGANIZATIONAL EFFECTIVENES)
(901) 866-8105
Entity
Organization
Contact information
Practice address
1068 CRESTHAVEN RD STE 400, MEMPHIS, TN 38119-0845
(901) 448-6650
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 448-6650
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
01/23/2025
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