Cedar Creek Pediatric & Adolescent Medicine, PC

NPI #1003039223 in Maryville, Tennessee

Provider Information

NPI Number: 1003039223
Entity Type: Organization
Organization Name: Cedar Creek Pediatric & Adolescent Medicine, PC
Primary Specialty: Pediatrics
Enumeration Date: Apr 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 616 SMITHVIEW DR
City: Maryville
State: Tennessee
ZIP Code: 37803-6100
Phone: (865) 379-2277

Authorized Official

Name: MR. SHANNON R LINGINFELTER, FNP
Title: PRACTICE ADMINISTRATOR
Phone: (865) 379-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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