is a Pediatrics in Loudon, Tennessee. practices all healthcare services and medical treatments related to Pediatrics. 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 | |
|---|---|
| Address | 616 Ward Ave, Loudon, Tennessee |
| Phone Number | 8654585666 |
| Fax Number | 8654589906 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609086214 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 616 Ward Ave |
|---|---|
| City | Loudon |
| State | Tennessee (TN) |
| Post Code | 377741323 |
| Phone Number | 8654585666 |
| Fax Number | 8654589906 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 43430 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1503975 | TN | -- |
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