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

NPI #1366648040 in La Follette, Tennessee

Provider Information

NPI Number: 1366648040
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: Jun 21, 2007
Last Updated: Jan 14, 2026

Practice Location

Address: 2221 JACKSBORO PIKE STE C4
City: La Follette
State: Tennessee
ZIP Code: 37766-3007
Phone: (423) 566-3488

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pediatrics	208000000X	Primary

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