Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Family Physicians LaFollette
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA B MARQUART (VICE PRESIDENT)
(865) 251-4346
Entity
Organization
Contact information
Practice address
109 INDEPENDENCE LN, STE 300, LA FOLLETTE, TN 37766-3033
(423) 566-0958
(423) 566-0962
Mailing address
PO BOX 440134, NASHVILLE, TN 37244-0134
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013906
—
TN
Enumeration date
07/16/2015
Last updated
07/22/2015
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