| UT Primary Care Lenoir City | |
|
5779 Creekwood Park Blvd Suite 220 Lenoir TN 37772 | |
| (865) 670-6750 | |
| (865) 988-8772 |
| Full Name | UT Primary Care Lenoir City |
|---|---|
| Speciality | Internal Medicine |
| Location | 5779 Creekwood Park Blvd, Lenoir, Tennessee |
| Authorized Official Name and Position | Beth a Maynard (VICE PRESIDENT) |
| Authorized Official Contact | 8656706754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| UT Primary Care Lenoir City Po Box 415000-msc8137 Nashville TN 37241-8137 Ph: (865) 670-6199 | UT Primary Care Lenoir City 5779 Creekwood Park Blvd Suite 220 Lenoir TN 37772 Ph: (865) 670-6750 |
| NPI Number | 1922039429 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922039429 | NPI | - | NPPES |
| 32851413 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |