Organization
UT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BOTSCHNER (CEO)
(901) 382-0393
Entity
Organization
Contact information
Practice address
6575 STAGE RD, BARTLETT, TN 38134-3809
(901) 382-0393
(901) 381-1177
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
(901) 866-8205
(901) 302-2120
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530598
—
TN
Enumeration date
02/05/2018
Last updated
02/05/2018
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