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Tri-cities Pediatric Endocrinology, Pllc
Medical Specialty Clinic/Center in Gray, Tennessee
NPI 1851721369

Tri-cities Pediatric Endocrinology, Pllc is a Medical Specialty Clinic/Center based in Johnson City, TN and is specialized in Medical Specialty. Tri-cities Pediatric Endocrinology, Pllc practices in Gray, TN. The NPI Number for Tri-cities Pediatric Endocrinology, Pllc is 1851721369 and holds a License No. 37128 (Tennessee).

The current practice location address for Tri-cities Pediatric Endocrinology, Pllc is 140 Old Gray Station Rd, Gray, TN and can be reached out via phone at 423-483-0828 and via fax at 423-546-4103.

Location: 140 Old Gray Station Rd, Gray, TN, 37602-3343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851721369
Provider Name
Tri-cities Pediatric Endocrinology, Pllc
Credential
Provider Entity Type
Organization
Address
140 Old Gray Station Rd, Gray, TN, 37602-3343
Phone Number
423-483-0828
Fax Number
423-546-4103
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615-3612
Phone Number
423-483-0828
Fax Number
423-546-4103
person
Provider Business Mailing Address Details
Address
140 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615-3612
Phone Number
423-483-0828
Fax Number
423-546-4103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
37128 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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