Loudon County Pediatrics, PC
NPI #1578881132 in Lenoir City, Tennessee
Provider Information
- NPI Number
- 1578881132
- Entity Type
- Organization
- Organization Name
- Loudon County Pediatrics, PC
- Primary Specialty
- Clinical Nurse Specialist - Pediatrics
- Enumeration Date
- May 6, 2010
- Last Updated
- May 6, 2010
Practice Location
- Address
- 423 MEDICAL PARK DR
- City
- Lenoir City
- State
- Tennessee
- ZIP Code
- 37772-5640
- Phone
- (865) 986-9233
Authorized Official
- Name
- DWIGHT DANIEL BIVENS
- Title
- SECRETARY/TREASURER
- Phone
- (865) 986-9233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Pediatrics — Pediatrics |
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