| Kidzcare Pediatrics, Pllc | |
|
2317 S Roane St Harriman TN 37748-8653 | |
| (423) 745-7500 | |
| Not Available |
| Full Name | Kidzcare Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2317 S Roane St, Harriman, Tennessee |
| Authorized Official Name and Position | Angie Lambert (OFFICE MANAGER) |
| Authorized Official Contact | 4237457500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzcare Pediatrics, Pllc 2317 S Roane St Harriman TN 37748-8653 Ph: () - | Kidzcare Pediatrics, Pllc 2317 S Roane St Harriman TN 37748-8653 Ph: (423) 745-7500 |
| NPI Number | 1760080600 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 4789728403 |
|---|---|
| Medicare Enrollment ID | O20201217001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760080600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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