Ut Primary Care Lenoir City | |
5779 Creekwood Park Blvd Suite 220 Lenoir TN 37772 | |
(865) 670-6750 | |
(865) 988-8772 |
Full Name | Ut Primary Care Lenoir City |
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Speciality | Internal Medicine |
Location | 5779 Creekwood Park Blvd, Lenoir, Tennessee |
Authorized Official Name and Position | Beth A Maynard (VICE PRESIDENT) |
Authorized Official Contact | 8656706754 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ut Primary Care Lenoir City Po Box 415000-msc8137 Nashville TN 37241-8137 Ph: (865) 670-6199 | Ut Primary Care Lenoir City 5779 Creekwood Park Blvd Suite 220 Lenoir TN 37772 Ph: (865) 670-6750 |
NPI Number | 1922039429 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 06/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922039429 | NPI | - | NPPES |
32851413 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |