Organization
UNIVERSITY HEALTH SYSTEM INC
Active
Organization
UNIVERSITY HEALTH SYSTEM INC
Active
Other names
University Neurointerventional Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A BURGESS (PROVIDER ENROLLMENT TEAM LEAD)
(865) 670-6754
Entity
Organization
Contact information
Practice address
1928 ALCOA HWY STE 315, KNOXVILLE, TN 37920-1505
(865) 558-0225
(865) 540-3857
Mailing address
PO BOX 415000-MSC8410, NASHVILLE, TN 37241-8410
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/05/2022
Last updated
10/28/2022
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