University of Tennessee Martin

NPI #1861926479 in Martin, Tennessee

Provider Information

NPI Number: 1861926479
Entity Type: Organization
Organization Name: University of Tennessee Martin
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 20, 2017
Last Updated: Apr 20, 2017

Practice Location

Address: 95 MOUNT PELIA RD
Address 2: ELAM CENTER
City: Martin
State: Tennessee
ZIP Code: 38238-0001
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS
Title: AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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Organizations

Provider Name	Specialty	City
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