| NPI | 1235640467 |
|---|---|
| Doing Business As | HARDIN VALLEY 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 |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-06-08 |