| Ut Family Physicians Northshore | |
|
9625 Kroger Park Dr Ste 400 Knoxville TN 37922-5880 | |
| (865) 539-2411 | |
| (865) 539-2412 |
| Full Name | Ut Family Physicians Northshore |
|---|---|
| Speciality | Family Medicine |
| Location | 9625 Kroger Park Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Cynthia B. Marquart (VICE PRESIDENT) |
| Authorized Official Contact | 8653059886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Family Physicians Northshore Po Box 440525 Nashville TN 37244-0525 Ph: (865) 670-6199 | Ut Family Physicians Northshore 9625 Kroger Park Dr Ste 400 Knoxville TN 37922-5880 Ph: (865) 539-2411 |
| NPI Number | 1477649226 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477649226 | NPI | - | NPPES |
| 3710173 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
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