| Drs Black&benton Pediatrics | |
|
4741 N Broadway St Ste B Knoxville TN 37918-1793 | |
| (865) 687-1940 | |
| (865) 687-0157 |
| Full Name | Drs Black&benton Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4741 N Broadway St Ste B, Knoxville, Tennessee |
| Authorized Official Name and Position | Donna Kesterson (INSURANCE) |
| Authorized Official Contact | 8656871940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Black&benton Pediatrics 4741 N Broadway St Ste B Knoxville TN 37918-1793 Ph: (865) 687-1940 | Drs Black&benton Pediatrics 4741 N Broadway St Ste B Knoxville TN 37918-1793 Ph: (865) 687-1940 |
| NPI Number | 1376943878 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376943878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD17837 (Tennessee) | Primary |
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