| East Tennessee Children's Hospital Primary Care Center, Inc. | |
|
1400 Dutch Valley Dr Knoxville TN 37918-1424 | |
| (865) 689-1122 | |
| (866) 340-3781 |
| Full Name | East Tennessee Children's Hospital Primary Care Center, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 1400 Dutch Valley Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Caryn Hawthorne (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 8655418181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Children's Hospital Primary Care Center, Inc. Po Box 15004 Knoxville TN 37901-5004 Ph: (865) 541-8895 | East Tennessee Children's Hospital Primary Care Center, Inc. 1400 Dutch Valley Dr Knoxville TN 37918-1424 Ph: (865) 689-1122 |
| NPI Number | 1659576825 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659576825 | NPI | - | NPPES |
| Q002812 | Medicaid | TN |
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