National Provider Identifier Database

ATHENS PEDIATRICS PLLC
Family


Contact Information

ATHENS PEDIATRICS PLLC
111 EPPERSON ST
ATHENS, TN37303-3478
Phone: 423-745-5955
Fax: 423-745-6423
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ATHENS PEDIATRICS PLLC

NPI Number 1659740702
Legal business name
LBN
ATHENS PEDIATRICS PLLC
Authorized official CINDY ACKAOUY - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2015
Last updated 09/18/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 20337

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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