Crider Johnson Pediatrics Psc

NPI #1114029212 in Pikeville, Kentucky

Provider Information

NPI Number: 1114029212
Entity Type: Organization
Organization Name: Crider Johnson Pediatrics Psc
Primary Specialty: Pediatrics
Enumeration Date: Sep 1, 2006
Last Updated: Aug 29, 2012

Practice Location

Address: 387 TOWN MOUNTAIN RD
Address 2: SUITE 202
City: Pikeville
State: Kentucky
ZIP Code: 41501-1640
Phone: (606) 437-1056

Authorized Official

Name: MRS. JUDY ROBINSON
Title: MANAGER
Phone: (606) 437-1008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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