Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Other names
Tennessee Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LAUTERBACH (CREDENTIALING)
(443) 738-2889
Entity
Organization
Contact information
Practice address
9245 PARK WEST BLVD, KNOXVILLE, TN 37923-4425
(865) 276-2764
(865) 694-7621
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(866) 953-3111
(443) 471-8540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/17/2020
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