East Tennessee Pediatrics
NPI #1023542784 in Madisonville, Tennessee
Provider Information
- NPI Number
- 1023542784
- Entity Type
- Organization
- Organization Name
- East Tennessee Pediatrics
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Jun 9, 2017
Practice Location
- Address
- 3959 HIGHWAY 411
- City
- Madisonville
- State
- Tennessee
- ZIP Code
- 37354-4417
- Phone
- (423) 442-2121
Authorized Official
- Name
- GREGORY B CAIN
- Title
- PRESIDENT
- Phone
- (423) 442-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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