NPI | 1548466220 |
---|---|
Doing Business As | BOYS & GIRLS 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 | 2007-06-21 |
Last Update Date | 2024-01-31 |