Organization
UNIVERSITY OF TENNESSEE
Active
Organization
UNIVERSITY OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIANN BINGHAM (BILLING MANAGER)
(901) 448-2801
Entity
Organization
Contact information
Practice address
875 UNION AVE, N-328 DUNN, MEMPHIS, TN 38103-3513
(901) 448-6236
(901) 448-5480
Mailing address
875 UNION AVENUE, N-328 DUNN, MEMPHIS, TN 38116-0001
(901) 448-6236
(901) 448-5480
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/28/2015
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