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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