Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
University Colon and Rectal Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
1934 ALCOA HWY, STE 370, KNOXVILLE, TN 37920-1524
(865) 305-9620
(865) 305-8840
Mailing address
PO BOX 415000-MSC8148, NASHVILLE, TN 37241-8148
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528720
—
TN
Enumeration date
06/20/2012
Last updated
06/05/2020
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