East Tennessee Children's Hospital Primary Care Center, Inc.

NPI 1043415227 - Clinic/Center - 261QP2300X

NPI Details
NPI 1043415227
Enumeration Date 06/18/2007
Last Updated 09/28/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRACY TRACY
Position PRACTICE ASST ADMIN
Phone (865) 453-4434
Fax (865) 428-3508
Practice Location
1115 BLANTON DRIVE
SEVIERVILLE TN, 37862-5050, US
Phone (865) 453-4434
Fax (865) 428-3508
Business Location
PO BOX 15004
KNOXVILLE TN, 37901, US
Phone (865) 541-8895
Fax (865) 633-4808
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1043415227 NPI Number
 

According to our database, East Tennessee Children's Hospital Primary Care Center, Inc. NPI is 1043415227, taxonomy code is 261QP2300X East Tennessee Children's Hospital Primary Care Center, Inc. physically located at 1115 Blanton Drive, Sevierville TN, 37862-5050. NPI Number 1033115704 has the healthcare provider type.

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1043415227 NPI number is provided on an as is basis without warranty of any kind. 1043415227 is maintained by the National Plan & Provider Enumeration System. The contents of East Tennessee Children's Hospital Primary Care Center, Inc. are for informational purposes only.