Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RUH (A/R ADMIN)
(000) 000-0000
Entity
Organization
Contact information
Practice address
800 OAK RIDGE TPKE STE A101, OAK RIDGE, TN 37830-6958
(865) 483-1093
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3714755
—
TN
05
—
3714759
—
TN
01
—
CI2260
MEDICARE RAILROAD
TN
Enumeration date
06/15/2006
Last updated
03/06/2025
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