Pediatrics To Parents Medical, Pc in New Tazewell - Multi-specialty
Pediatrics To Parents Medical, Pc - NPI 1912189085
Pediatrics To Parents Medical, Pc is a Multi-specialty in New Tazewell, Tennessee. Pediatrics To Parents Medical, Pc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Pediatrics To Parents Medical, Pc is 1912189085. The last update date is 2008-08-12.
Pediatrics To Parents Medical, Pc's current location address is Po Box 959, New Tazewell, Tennessee. You can contact this provider via phone number 4236261931 and fax number 4236261948. The mailing address for Pediatrics To Parents Medical, Pc is Po Box 959, New Tazewell, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatrics To Parents Medical, Pc |
|---|---|
| Address | Po Box 959, New Tazewell, Tennessee |
| Phone Number | 4236261931 |
| Fax Number | 4236261948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fejeran Jc Ronald |
| Credentials | DO |
| Telephone Number | 4236261931 |
NPI Number Detail
| NPI Number | 1912189085 |
|---|---|
| Provider Enumeration Date | 2007-11-30 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | Po Box 959 |
|---|---|
| City | New Tazewell |
| State | Tennessee (TN) |
| Post Code | 378240959 |
| Phone Number | 4236261931 |
| Fax Number | 4236261948 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 999 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3303563 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatrics To Parents Medical, Pc by the Centers for Medicare & Medicaid Services?
The Pediatrics To Parents Medical, Pc has been issued the NPI (National Provider Identifier) 1912189085. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatrics To Parents Medical, Pc located?
The Pediatrics To Parents Medical, Pc is located at Po Box 959, New Tazewell, TN 378240959.
What is the Pediatrics To Parents Medical, Pc's specialty and taxonomy code?
The Pediatrics To Parents Medical, Pc's specialty is Multi-specialty, and the corresponding taxonomy code is 261Qm1300X.
When was the Pediatrics To Parents Medical, Pc's 1912189085 issued?
The Pediatrics To Parents Medical, Pc's 1912189085 was issued on 2007-11-30.
As of what date were the details related to Pediatrics To Parents Medical, Pc most recently updated or revised?
The information pertaining to Pediatrics To Parents Medical, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-12.