Plateau Pediatrics, Plc in Crossville - Rural Health
Plateau Pediatrics, Plc - NPI 1043285729
Plateau Pediatrics, Plc is a Rural Health in Crossville, Tennessee. Plateau Pediatrics, Plc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Plateau Pediatrics, Plc is 1043285729. The last update date is 2011-04-25.
Plateau Pediatrics, Plc's current location address is 3234 Miller Ave, Crossville, Tennessee. You can contact this provider via phone number 9317078700 and fax number 9314560802. The mailing address for Plateau Pediatrics, Plc is 3234 Miller Ave, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plateau Pediatrics, Plc |
|---|---|
| Address | 3234 Miller Ave, Crossville, Tennessee |
| Phone Number | 9317078700 |
| Fax Number | 9314560802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Berman K Suzanne |
| Credentials | M.D. |
| Telephone Number | 9317078700 |
NPI Number Detail
| NPI Number | 1043285729 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2011-04-25 |
Provider Mailing Address Detail
| Address | 3234 Miller Ave |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 385556116 |
| Phone Number | 9317078700 |
| Fax Number | 9314560802 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | 3899812 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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Post Comment/ Review Below
Could you please share the complete physical location address where Plateau Pediatrics, Plc's facilities are situated?
The facilities of Plateau Pediatrics, Plc are physically located at the following address: 3234 Miller Ave, Crossville, TN, 385556116.
What is Plateau Pediatrics, Plc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Plateau Pediatrics, Plc's area of specialization is Rural Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qr1300X.
On what date was the 1043285729 assigned to Plateau Pediatrics, Plc?
The Plateau Pediatrics, Plc was issued its 1043285729 on 2006-02-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Plateau Pediatrics, Plc receive the assignment of its 1043285729 from the Centers for Medicare & Medicaid Services?
The Plateau Pediatrics, Plc was issued its 1043285729 by the Centers for Medicare & Medicaid Services on 2006-02-17.
When was the information regarding Plateau Pediatrics, Plc most recently updated?
The details pertaining to the Plateau Pediatrics, Plc, including its address, specialty, and other relevant information, were last refreshed on 2011-04-25.