Cedar Creek Pediatric & Adolescent Medicine, Pc

NPI 1003039223 - Pediatrics - 208000000X

NPI Details
NPI 1003039223
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHANNON R SHANNON
Position PRACTICE ADMINISTRATOR
Phone (865) 379-2277
Fax (865) 379-1191
Practice Location
616 SMITHVIEW DR
MARYVILLE TN, 37803-6100, US
Phone (865) 379-2277
Fax (865) 379-1191
Business Location
616 SMITHVIEW DR
MARYVILLE TN, 37803-6100, US
Phone (865) 379-2277
Fax (865) 379-1171
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1003039223 NPI Number
 

According to our database, Cedar Creek Pediatric & Adolescent Medicine, Pc NPI is 1003039223, taxonomy code is 208000000X Cedar Creek Pediatric & Adolescent Medicine, Pc physically located at 616 Smithview Dr, Maryville TN, 37803-6100. NPI Number 1033115704 has the healthcare provider type.

1003039223 NPI number is provided on an as is basis without warranty of any kind. 1003039223 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Creek Pediatric & Adolescent Medicine, Pc are for informational purposes only.