| University Health System, Inc | |
|
208 Central Ave W Jamestown TN 38556-3557 | |
| (865) 670-6754 | |
| Not Available |
| Full Name | University Health System, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 208 Central Ave W, Jamestown, Tennessee |
| Authorized Official Name and Position | Carol A Burgess (PROVIDER ENROLLMENT TEAM LEAD) |
| Authorized Official Contact | 8656706754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Health System, Inc Po Box 415000-msc8443 Nashville TN 37241-8443 Ph: (865) 670-6199 | University Health System, Inc 208 Central Ave W Jamestown TN 38556-3557 Ph: (865) 670-6754 |
| NPI Number | 1669164307 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669164307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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