| Kidzcare Pediatrics | |
|
119 Epperson St Athens TN 37303-3478 | |
| (423) 745-7500 | |
| (423) 745-7501 |
| Full Name | Kidzcare Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 119 Epperson St, Athens, Tennessee |
| Authorized Official Name and Position | Saji Gopinathan (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4237457500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzcare Pediatrics Po Box 925 Athens TN 37371-0925 Ph: (423) 745-7500 | Kidzcare Pediatrics 119 Epperson St Athens TN 37303-3478 Ph: (423) 745-7500 |
| NPI Number | 1679805493 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 4789728403 |
|---|---|
| Medicare Enrollment ID | O20100218000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679805493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MD0000034697 (Tennessee) | Primary |
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