NPI | 1184829368 |
---|---|
Doing Business As | MARYVILLE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | CARYN HAWTHORNE Vice President Finance 865-541-8181 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
363LF0000X Nurse Practitioner Family | |
363LP0200X Nurse Practitioner Pediatrics | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2023-06-09 |