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Organization

UNIVERSITY HEALTH SYSTEM, INC

Active
Other names
UT Primary Care Jamestown
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
208 CENTRAL AVE W, JAMESTOWN, TN 38556-3557
(865) 670-6754
Mailing address
PO BOX 415000-MSC8443, NASHVILLE, TN 37241-8443
(865) 670-6199
(865) 670-6198

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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