| Ut Family Physicians Loudon | |
|
2480 Hwy 72 N Loudon TN 37774 | |
| (865) 458-1183 | |
| (865) 458-7920 |
| Full Name | Ut Family Physicians Loudon |
|---|---|
| Speciality | Family Medicine |
| Location | 2480 Hwy 72 N, Loudon, Tennessee |
| Authorized Official Name and Position | Cynthia B Marquart (VP) |
| Authorized Official Contact | 8653059886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Family Physicians Loudon Po Box 440227 Nashville TN 37244-0227 Ph: (865) 670-6199 | Ut Family Physicians Loudon 2480 Hwy 72 N Loudon TN 37774 Ph: (865) 458-1183 |
| NPI Number | 1700109402 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 09/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700109402 | NPI | - | NPPES |
| 1518345 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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