Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Family Physicians Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
2681 ANDERSONVILLE HWY, STE 102, CLINTON, TN 37716-6706
(865) 494-5960
(865) 494-5964
Mailing address
PO BOX 415000-MSC8162, NASHVILLE, TN 37241-8162
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518343
—
TN
Enumeration date
03/03/2010
Last updated
06/05/2020
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