Organization
UNIVERSITY OF TENNESSEE
Active
Organization
UNIVERSITY OF TENNESSEE
Active
Other names
Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY A FERRARA (SR. VICE CHANCELLOR/CFO)
(901) 448-5523
Entity
Organization
Contact information
Practice address
875 UNION AVE., SUITE C303, MEMPHIS, TN 38103-3513
(901) 448-1463
(901) 448-1465
Mailing address
875 UNION AVE., SUITE E201B, MEMPHIS, TN 38103-3513
(901) 448-2801
(901) 448-2853
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
12/05/2019
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