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Contact Information

EAST TENNESSEE PEDIATRICS
3959 HIGHWAY 411
MADISONVILLE, TN37354-4417
 Phone: 423-442-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EAST TENNESSEE PEDIATRICS

NPI Number 1023542784
LBN Legal business name EAST TENNESSEE PEDIATRICS
Authorized official GREGORY CAIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2017
Last updated 06/09/2017 - About 9 years ago
Identifiers n/a
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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