National Provider Identifier Database

EAST TENNESSEE PEDIATRICS
Rural Health


Contact Information

EAST TENNESSEE PEDIATRICS
3959 HIGHWAY 411
MADISONVILLE, TN37354-4417
Phone: 423-442-2121
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Pediatrics 208000000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for EAST TENNESSEE PEDIATRICS

NPI Number 1023542784
Legal business name
LBN
EAST TENNESSEE PEDIATRICS
Authorized official GREGORY CAIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/19/2017
Last updated 06/09/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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