is a Pediatric Emergency Medicine in Loudon, Tennessee. practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for is 1609086214. The last update date is .
's current location address is 616 Ward Ave, Loudon, Tennessee. You can contact this provider via phone number 8654585666 and fax number 8654589906. The mailing address for is 616 Ward Ave, Loudon, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 616 Ward Ave, Loudon, Tennessee |
Phone Number | 8654585666 |
Fax Number | 8654589906 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1609086214 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 616 Ward Ave |
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City | Loudon |
State | Tennessee (TN) |
Post Code | 377741323 |
Phone Number | 8654585666 |
Fax Number | 8654589906 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Emergency Medicine |
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Taxonomy | 207Pp0204X |
Licence No | 43430 |
Definition: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1503975 | TN | -- |
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