Premier Pediatrics, LLC
NPI #1235149014 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1235149014
- Entity Type
- Organization
- Organization Name
- Premier Pediatrics, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 101 MED TECH PKWY
- Address 2
- SUITE 405
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-4007
- Phone
- (423) 929-2454
Authorized Official
- Name
- DR. ELAINE BARBARA PUGH, M.D.
- Title
- PRESIDENT
- Phone
- (423) 929-2454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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