Pediatric Associates of West Tennessee Pllc
NPI #1679929285 in Dyersburg, Tennessee
Provider Information
- NPI Number
- 1679929285
- Entity Type
- Organization
- Organization Name
- Pediatric Associates of West Tennessee Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 12, 2016
- Last Updated
- May 14, 2025
Practice Location
Authorized Official
- Name
- JAMIE L ELLERBROOK
- Title
- OWNER
- Phone
- (731) 285-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
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