Organization
UNIVERSITY HEALTH SYSTEM, INC
Active
Other names
UT Primary Care Sevierville
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAYNARD (VICE PRESIDENT)
(865) 305-6427
Entity
Organization
Contact information
Practice address
1130 MIDDLECREEK RD, STE 260, SEVIERVILLE, TN 37862-5014
(865) 428-7586
(865) 428-8671
Mailing address
PO BOX 415000-MSC8138, NASHVILLE, TN 37241-8138
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32851413
—
TN
Enumeration date
08/30/2007
Last updated
06/05/2020
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