Organization
UNIVERSITY OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY A FERRARA (SR VICE CHANCELLOR CHIEF FINANCIAL)
(901) 448-5523
Entity
Organization
Contact information
Practice address
875 UNION AVE, ROOM C309, MEMPHIS, TN 38163-0001
(901) 448-5876
(901) 448-6835
Mailing address
875 UNION AVE, ROOM C309, MEMPHIS, TN 38163-0001
(901) 448-5876
(901) 448-6835
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
12/18/2020
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