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Contact Information

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
1705 ROANE STATE HWY
HARRIMAN, TN37748-8306
 Phone: 865-316-5001
 Fax: 865-376-3713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EAST TENNESSEE CHILDRENS HOSPITAL PRIMARY CARE CENTER INC · (Female)

NPI # 1669104196
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2022
Last updated 01/14/2026 - About 5 months ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid Q074655
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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