Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
U.T. Internal Medicine of LaFollette
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
109 INDEPENDENCE LN, STE 200, LA FOLLETTE, TN 37766-3033
(423) 562-4968
(423) 562-5603
Mailing address
PO BOX 415000-MSC8173, NASHVILLE, TN 37241-8173
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709361
—
TN
Enumeration date
07/22/2006
Last updated
06/05/2020
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