| U.t. Internal Medicine Of Lafollette | |
|
109 Independence Ln Ste 200 La Follette TN 37766-3033 | |
| (423) 562-4968 | |
| (423) 562-5603 |
| Full Name | U.t. Internal Medicine Of Lafollette |
|---|---|
| Speciality | Internal Medicine |
| Location | 109 Independence Ln, La Follette, Tennessee |
| Authorized Official Name and Position | Beth A Maynard (VICE PRESIDENT) |
| Authorized Official Contact | 8653056427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U.t. Internal Medicine Of Lafollette Po Box 415000-msc8173 Nashville TN 37241-8173 Ph: (865) 670-6199 | U.t. Internal Medicine Of Lafollette 109 Independence Ln Ste 200 La Follette TN 37766-3033 Ph: (423) 562-4968 |
| NPI Number | 1629099866 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629099866 | NPI | - | NPPES |
| 3709361 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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