UT MEDICAL GROUP; NPI #1174872295

Contact Information

UT MEDICAL GROUP

853 JEFFERSON AVE
ROOM 201
MEMPHIS, TN 38103-2807

Phone: 901-545-7366
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Women	282NW0100X

Indicates primary specialty

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NPI Profile & details for UT MEDICAL GROUP

NPI # 1174872295

LBN Legal business name UT MEDICAL GROUP

Authorized official MARILYN MUIRHEAD - (NEONATAL NURSE PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/05/2012

Last updated 09/05/2012 - About 14 years ago

Identifiers

TN	License #	8199402
TN	Other	8198662	ADVANCED PRACTICE LIICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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UT MEDICAL GROUP

Contact Information

Specialty

Women

NPI Profile & details for UT MEDICAL GROUP

Reviews for UT MEDICAL GROUP