PROVIDENCE PEDIATRICS, LLC

Nurse Practitioner

NPI: 1821497942Organization

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

6966(TN)

Contact & Hours

Address: 140 OLD GRAY STATION ROAD, SUITE 200
GRAY, TN 37615
Phone: (423) 477-2042

Quick Facts

NPI: 1821497942
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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