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EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

Pediatrics Physician

NPI: 1366648040Organization

Specialties, Licenses & Credentials

Nurse Practitioner — Pediatrics

Code: 363LP0200X

Clinic/Center — Primary Care

Code: 261QP2300X

Pediatrics

Code: 208000000X

Contact & Hours

Address
2221 JACKSBORO PIKE STE C4
LA FOLLETTE, TN 37766

Quick Facts

NPI
1366648040
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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