Prime Pediatrics LLP
NPI #1881364941 in Waverly, Tennessee
Provider Information
- NPI Number
- 1881364941
- Entity Type
- Organization
- Organization Name
- Prime Pediatrics LLP
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 20, 2021
- Last Updated
- Sep 28, 2021
Practice Location
Authorized Official
- Name
- ALEXANDER CHRISTIAN BLACK, PA-C
- Title
- PHYSICIAN ASSISTANT
- Phone
- (615) 476-7812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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