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Contact Information

PEDIATRIC PROFESSIONALS
136 MOUNTAIN PERKINS LANE
SUITE 2
JACKSBORO, TN37757
 Phone: 865-250-3740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PEDIATRIC PROFESSIONALS

NPI Number 1518112911
LBN Legal business name PEDIATRIC PROFESSIONALS
Authorized official SHAHID HASNAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2008
Last updated 03/12/2009 - About 17 years ago
Identifiers
TN License # 30258
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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