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Organization

UNIVERSITY OF TENNESSE, MEMPHIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIM LEWIS M.D. (PROGRAM DIRECTOR)
(901) 448-5814
Entity
Organization

Contact information

Practice address
165 RIVER BRIDGE LN APT 201, MEMPHIS, TN 38103-7905
(901) 219-7703
Mailing address
165 RIVER BRIDGE LN APT 201, MEMPHIS, TN 38103-7905

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
TN

Other

Enumeration date
04/25/2007
Last updated
08/22/2020
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