Organization
UNIVERSITY HEART SURGEONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W MACK JR. MD (PARTNER)
(865) 637-6392
Entity
Organization
Contact information
Practice address
1940 ALCOA HWY, STE E-260, KNOXVILLE, TN 37920
(865) 637-6392
(865) 637-5216
Mailing address
9330 PARKWEST BLVD, STE 108, KNOXVILLE, TN 37923
(865) 769-8635
(865) 769-8631
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706174
—
TN
Enumeration date
06/14/2006
Last updated
08/22/2020
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