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TENNESSEE VALLEY UROLOGY PC NPI 1881605509


NPI Information

NPI: 1881605509
Provider Name: TENNESSEE VALLEY UROLOGY PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
103 STATION DRIVE
BUILDING 4
MARYVILLE, TN
ZIP 37804
Phone: (865) 982-7540
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TENNESSEE VALLEY UROLOGY PC is an urology in Maryville, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. TENNESSEE VALLEY UROLOGY PC NPI is 1881605509. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

103 STATION DRIVE
BUILDING 4
MARYVILLE, TN
ZIP 37804-190
Phone: (865) 982-7540
Fax: (865) 981-1682

The provider's authorized official is Steven R Mynatt .
The authorized official title is Owner and has the following contact phone number (865) 982-7540.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyMC0000012896TENNESSEENo
2208800000XUrology012896TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A98279MEDICARE UPIN
23019014MEDICARE PINNORTH CAROLINA
30049MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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