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Organization

UNIVERSITY OF TENNESSEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JO MYRICK (ACCONTANT BUSINESS OFFICE)
(901) 448-6476
Entity
Organization

Contact information

Practice address
875 UNION AVE, C 302, MEMPHIS, TN 38103-3513
(901) 448-6476
(901) 448-1390
Mailing address
875 UNION AVE, C 302, MEMPHIS, TN 38103-3513
(901) 448-6476
(901) 448-1390

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/15/2006
Last updated
06/10/2013
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