Organization
UNIVERSITY OF TENNESSEE, MEMPHIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON HAYNES (DIRECTOR)
(901) 448-5364
Entity
Organization
Contact information
Practice address
UT COLLEGE OF MEDICINE, 920 MADISON AVENUE SUITE C50, MEMPHIS, TN 38163
(901) 448-5364
Mailing address
11168 BERNADETTE COVE, ARLINGTON, TN 38002
(901) 485-6388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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