| Valley Pediatrics | |
|
4896 Main St Jasper TN 37347-3681 | |
| (423) 942-3756 | |
| (423) 942-7358 |
| Full Name | Valley Pediatrics |
|---|---|
| Speciality | Clinic/center |
| Location | 4896 Main St, Jasper, Tennessee |
| Authorized Official Name and Position | Gary Stephen Hayes (PRESIDENT) |
| Authorized Official Contact | 4239423756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Pediatrics 4896 Main St Jasper TN 37347-3681 Ph: (423) 942-3756 | Valley Pediatrics 4896 Main St Jasper TN 37347-3681 Ph: (423) 942-3756 |
| NPI Number | 1124256078 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 06/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124256078 | NPI | - | NPPES |
| 8705050 | Medicaid | AL | |
| 3027961 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD18240 (Tennessee) | Primary |
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Marion Health and Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3695 Main St, Jasper, TN 37347 Phone: 423-815-9180 |
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