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Organization

UNIVERSITY HEALTH SYSTEM, INC

Active
Other names
Pediatric Consultants Lafollette
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA B MARQUART (VICE PRESIDENT)
(865) 305-9886
Entity
Organization

Contact information

Practice address
109 INDEPENDENCE LN, STE 400, LA FOLLETTE, TN 37766-3033
(423) 562-4149
(423) 566-6929
Mailing address
109 INDEPENDENCE LN, STE 400, LA FOLLETTE, TN 37766-3033
(423) 562-4149
(423) 566-6929

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TN

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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