East Tennessee Children's Hospital Primary Care Center, Inc.

NPI #1194348383 in Tazewell, Tennessee

Provider Information

NPI Number: 1194348383
Entity Type: Organization
Organization Name: East Tennessee Children's Hospital Primary Care Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Primary Specialty: Pediatrics
Enumeration Date: May 21, 2020
Last Updated: Jan 14, 2026

Practice Location

Address: 1610 TAZEWELL RD STE 203
City: Tazewell
State: Tennessee
ZIP Code: 37879-3648
Phone: (423) 259-3701

Authorized Official

Name: ANDREW ROSENDAHL
Title: CHIEF FINANCIAL OFFICER
Phone: (865) 541-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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DR. Justin Wade Widner, DO	Pediatrics	Tazewell	AI Deep Dive
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