| Mountain View Pediatrics And Internal Medicine | |
|
657 E Broadway Blvd Jefferson City TN 37760-4948 | |
| (423) 587-7333 | |
| Not Available |
| Full Name | Mountain View Pediatrics And Internal Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 657 E Broadway Blvd, Jefferson City, Tennessee |
| Authorized Official Name and Position | Susanne Nelms (PRACTICE ADMINISTRATOR/DIRECTOR) |
| Authorized Official Contact | 8655494892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Pediatrics And Internal Medicine 657 E Broadway Blvd Jefferson City TN 37760-4948 Ph: (423) 587-7333 | Mountain View Pediatrics And Internal Medicine 657 E Broadway Blvd Jefferson City TN 37760-4948 Ph: (423) 587-7333 |
| NPI Number | 1487961173 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487961173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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