Pediatric Specialists of Marion County Pllc
NPI #1154580736 in South Pittsburg, Tennessee
Provider Information
- NPI Number
- 1154580736
- Entity Type
- Organization
- Organization Name
- Pediatric Specialists of Marion County Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 9, 2008
- Last Updated
- May 24, 2012
Practice Location
- Address
- 325 SOUTH CEDAR AVE
- Address 2
- SUITE 1
- City
- South Pittsburg
- State
- Tennessee
- ZIP Code
- 37380-1305
- Phone
- (423) 228-4159
Authorized Official
- Name
- DR. JOHN ROBERT FOX, M.D.
- Title
- PARTNER
- Phone
- (423) 228-4159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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