Newport Pediatrics, P.c.

NPI 1467678706 - Pediatrics - 208000000X

NPI Details
NPI 1467678706
Enumeration Date 04/17/2007
Last Updated 01/20/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL MACK SAMUEL
Position PRESIDENT
Phone (423) 623-0653
Fax (423) 625-8264
Practice Location
1829 CROWE LN
NEWPORT TN, 37821-7264, US
Phone (423) 623-0653
Fax (423) 625-8264
Business Location
1829 CROWE LN
NEWPORT TN, 37821-7264, US
Phone (423) 623-0653
Fax (423) 625-8264
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Newport Pediatrics, P.c. NPI is 1467678706, taxonomy code is 208000000X Newport Pediatrics, P.c. physically located at 1829 Crowe Ln, Newport TN, 37821-7264. NPI Number 1033115704 has the healthcare provider type.

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1467678706 NPI number is provided on an as is basis without warranty of any kind. 1467678706 is maintained by the National Plan & Provider Enumeration System. The contents of Newport Pediatrics, P.c. are for informational purposes only.