University of Tennessee

NPI #1033345541 in Memphis, Tennessee

Provider Information

NPI Number: 1033345541
Entity Type: Organization
Organization Name: University of Tennessee
Primary Specialty: Special Hospital
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 60 HARBOR TOWN SQ
City: Memphis
State: Tennessee
ZIP Code: 38103-8850
Phone: (801) 671-0933

Authorized Official

Name: KIMBERLY TERESA FOUNTAIN, MD
Title: INTERN
Phone: (801) 671-0933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Special Hospital	284300000X	Primary

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