Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH WALLACE (COO)
(865) 690-0602
Entity
Organization
Contact information
Practice address
800 OAK RIDGE TPKE, SUITE A101, OAK RIDGE, TN 37830-6957
(865) 483-1093
(865) 482-8629
Mailing address
9724 KINGSTON PIKE, SUITE 800, KNOXVILLE, TN 37922-3347
(865) 690-0602
(865) 690-0515
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
TN
Other
Enumeration date
02/19/2008
Last updated
06/20/2012
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