Niteowl Pediatrics, LLC

NPI #1871887430 in Chattanooga, Tennessee

Provider Information

NPI Number: 1871887430
Entity Type: Organization
Organization Name: Niteowl Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 1, 2011
Last Updated: May 15, 2024

Practice Location

Address: 7446 SHALLOWFORD RD
Address 2: STE. 103
City: Chattanooga
State: Tennessee
ZIP Code: 37421-8815
Phone: (423) 648-6483

Authorized Official

Name: RICHARD FAULKNER
Title: MANAGER
Phone: (423) 209-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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