Organization
UT URGENT CARE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
11606 CHAPMAN HWY STE 4, SEYMOUR, TN 37865-5270
(865) 579-7580
(865) 609-6982
Mailing address
PO BOX 415000-MSC8181, NASHVILLE, TN 37241-8181
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035654
—
TN
Enumeration date
03/27/2018
Last updated
06/05/2020
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