Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Internal Medicine Pellissippi
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 670-6754
Entity
Organization
Contact information
Practice address
9625 KROGER PARK DR, STE 450, KNOXVILLE, TN 37922-5880
(865) 690-2992
(865) 690-2993
Mailing address
PO BOX 415000-MSC8174, NASHVILLE, TN 37241-8174
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3285144
—
TN
Enumeration date
05/18/2006
Last updated
06/05/2020
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