Ut Family Physicians Lafollette | |
109 Independence Ln Ste 300 La Follette TN 37766-3033 | |
(423) 566-0958 | |
(423) 566-0962 |
Full Name | Ut Family Physicians Lafollette |
---|---|
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 |
---|---|
Ut Family Physicians Lafollette Po Box 440134 Nashville TN 37244-0134 Ph: (865) 670-6199 | Ut Family Physicians Lafollette 109 Independence Ln Ste 300 La Follette TN 37766-3033 Ph: (423) 566-0958 |
NPI Number | 1477937712 |
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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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