Organization
UNIVERSITY OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAAJ KURAPATI (CFO)
(901) 448-8030
Entity
Organization
Contact information
Practice address
117 W SEVIER AVE STE 220, KINGSPORT, TN 37660-3770
(423) 933-3773
(423) 933-3726
Mailing address
117 W SEVIER AVE STE 220, KINGSPORT, TN 37660-3770
(423) 933-3773
(423) 933-3726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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