| Blackmon Pediatrics, PLLC | |
|
7714 Conner Rd Suite 101 Powell TN 37849-3559 | |
| (865) 212-6350 | |
| Not Available |
| Full Name | Blackmon Pediatrics, PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7714 Conner Rd, Powell, Tennessee |
| Authorized Official Name and Position | Aubrey Wells (OFFICE MANAGER) |
| Authorized Official Contact | 8652126441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackmon Pediatrics, PLLC 7714 Conner Rd Suite 101 Powell TN 37849-3559 Ph: (865) 212-6350 | Blackmon Pediatrics, PLLC 7714 Conner Rd Suite 101 Powell TN 37849-3559 Ph: (865) 212-6350 |
| NPI Number | 1437167194 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437167194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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