Provider Demographics
NPI:1386654226
Name:UNITY UROLOGY PC
Entity Type:Organization
Organization Name:UNITY UROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-638-4046
Mailing Address - Street 1:1404 TUSCULUM BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4395
Mailing Address - Country:US
Mailing Address - Phone:423-638-4046
Mailing Address - Fax:423-638-4295
Practice Address - Street 1:1404 TUSCULUM BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4395
Practice Address - Country:US
Practice Address - Phone:423-638-4046
Practice Address - Fax:423-638-4295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3734711Medicaid
TN3734711Medicare ID - Type Unspecified