Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Primary Care Lenoir City
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 670-6754
Entity
Organization
Contact information
Practice address
5779 CREEKWOOD PARK BLVD, SUITE 220, LENOIR, TN 37772
(865) 670-6750
(865) 988-8772
Mailing address
PO BOX 415000-MSC8137, NASHVILLE, TN 37241-8137
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32851413
—
TN
Enumeration date
07/05/2006
Last updated
06/05/2020
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