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Organization

UT METHODIST PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TABATHA PERRY (MANAGER, PROVIDER ENROLLMENT)
(901) 478-0954
Entity
Organization

Contact information

Practice address
1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104-7544
(901) 758-7970
(901) 266-6425
Mailing address
1211 UNION AVE STE 700, MEMPHIS, TN 38104-6600
(901) 478-0954
(901) 937-6696

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207RT0003X
Transplant Hepatology Physician
207Y00000X
Otolaryngology Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
2086X0206X
Surgical Oncology Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
05/03/2012
Last updated
10/20/2025
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