Organization
TENNESSEE VALLEY UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R MYNATT M.D. (OWNER)
(865) 982-7540
Entity
Organization
Contact information
Practice address
103 STATION DRIVE, BUILDING 4, MARYVILLE, TN 37804-4190
(865) 982-7540
(865) 981-1682
Mailing address
103 STATION DRIVE, BUILDING 4, MARYVILLE, TN 37804-4190
(865) 982-7540
(865) 981-1682
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
012896
TN
208800000X
Urology Physician
MC0000012896
TN
Other
Enumeration date
08/10/2006
Last updated
08/09/2010
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