| Child Neurology Services, Pc | |
|
2100 W Clinch Ave Suite 440 Knoxville TN 37916-2219 | |
| (865) 523-5437 | |
| (865) 523-3559 |
| Full Name | Child Neurology Services, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2100 W Clinch Ave, Knoxville, Tennessee |
| Authorized Official Name and Position | Monica M Litman (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8655235437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Neurology Services, Pc 2100 W Clinch Ave Suite 440 Knoxville TN 37916-2219 Ph: (865) 523-5437 | Child Neurology Services, Pc 2100 W Clinch Ave Suite 440 Knoxville TN 37916-2219 Ph: (865) 523-5437 |
| NPI Number | 1548270283 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548270283 | NPI | - | NPPES |
| 194274 | Medicaid | TN | |
| 194274 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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