Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
Family Physicians West
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
9625 KROGER PARK DR, STE 500, KNOXVILLE, TN 37922-5880
(865) 531-8100
(865) 539-0909
Mailing address
PO BOX 415000-MSC8167, NASHVILLE, TN 37241-8167
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709363
—
TN
Enumeration date
11/15/2006
Last updated
09/14/2021
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