Organization
UNIVERSITY OF TENNESSEE
Active
Organization
UNIVERSITY OF TENNESSEE
Active
Other names
University Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCDANIEL MPH (ADMINISTRATIVE DIRECTOR)
(865) 305-9352
Entity
Organization
Contact information
Practice address
1924 ALCOA HWY, U-115, KNOXVILLE, TN 37920-1511
(865) 305-9351
(865) 305-9314
Mailing address
1924 ALCOA HWY, U-67, KNOXVILLE, TN 37920-1511
(865) 305-9352
(865) 305-9314
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262417
BLACK LUNG
TN
05
—
3373352
—
TN
05
—
65936718
—
KY
Enumeration date
04/27/2006
Last updated
05/20/2008
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