Organization
TENNESSEE UROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH WALLACE (CHIEF OPERATING OFFICER)
(865) 690-0602
Entity
Organization
Contact information
Practice address
2001 LAUREL AVE, SUITE 502, KNOXVILLE, TN 37916-1810
(865) 522-6005
(865) 546-5678
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
—
—
Other
Enumeration date
05/22/2007
Last updated
06/20/2012
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