| Ucfa Physicians Network Group Of Tennessee | |
|
8930 Cross Park Dr Knoxville TN 37923-4713 | |
| (423) 271-9911 | |
| Not Available |
| Full Name | Ucfa Physicians Network Group Of Tennessee |
|---|---|
| Speciality | Family Medicine |
| Location | 8930 Cross Park Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Theo S Stephens (CHIEF OF THE OFFICE ON HEALTHCARE) |
| Authorized Official Contact | 4232719911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucfa Physicians Network Group Of Tennessee 223 Hiawassee Ave Knoxville TN 37917-4933 Ph: (423) 271-9911 | Ucfa Physicians Network Group Of Tennessee 8930 Cross Park Dr Knoxville TN 37923-4713 Ph: (423) 271-9911 |
| NPI Number | 1114483864 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 04/26/2021 |
| Medicare PECOS PAC ID | 1759782998 |
|---|---|
| Medicare Enrollment ID | O20210625001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114483864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles R Hoffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578650677 PECOS PAC ID: 1658404066 Enrollment ID: I20100805000913 |
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