| Prime Pediatrics Llp | |
|
300 S Clydeton Rd Waverly TN 37185-2140 | |
| (615) 476-7812 | |
| Not Available |
| Full Name | Prime Pediatrics Llp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 300 S Clydeton Rd, Waverly, Tennessee |
| Authorized Official Name and Position | Alexander Christian Black (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6154767812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Pediatrics Llp 765 Nancy Shawl Rd Dickson TN 37055-5010 Ph: (615) 476-7812 | Prime Pediatrics Llp 300 S Clydeton Rd Waverly TN 37185-2140 Ph: (615) 476-7812 |
| NPI Number | 1881364941 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881364941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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