| University Health System, Inc | |
|
109 Independence Ln Ste 300 La Follette TN 37766-3033 | |
| (423) 566-0958 | |
| (423) 566-0962 |
| Full Name | University Health System, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Independence Ln, La Follette, Tennessee |
| Authorized Official Name and Position | Cynthia B Marquart (VICE PRESIDENT) |
| Authorized Official Contact | 8652514346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Health System, Inc Po Box 440134 Nashville TN 37244-0134 Ph: (865) 670-6199 | University Health System, Inc 109 Independence Ln Ste 300 La Follette TN 37766-3033 Ph: (423) 566-0958 |
| NPI Number | 1477937712 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477937712 | NPI | - | NPPES |
| Q013906 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
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