Loudon Pediatric Clinic Pc
Pediatrics
Loudon Pediatric Clinic Pc is a Loudon, Tennessee based Pediatric center with medical specialization in
General Pediatrics.
It is located at
616 Ward Ave, Loudon, Tennessee - 37774-1323. They can be contacted on phone at
865-458-5666 and fax number 865-458-9906.
NPI number (Unique professional ID) for Loudon Pediatric Clinic Pc is
1356508188 which was assigned by NPPES on 20 May, 2008 and it was last updated on 07 Mar, 2014.
Loudon Pediatric Clinic Pc license number is
12939 for Pediatrics (208000000X) in Tennessee.
Loudon Pediatric Clinic Pc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Loudon Pediatric Clinic Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Loudon Pediatric Clinic Pc |
|---|
Business Address:
Loudon Pediatric Clinic Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 616 Ward Ave
Loudon, TN, 37774-1323
United States |
|---|
| Phone Number : | 865-458-5666 |
|---|
| Fax Number : | 865-458-9906 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356508188 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 May, 2008 |
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| Last Updated On : | 07 Mar, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jamesperry Guider |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 865-458-5666 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Loudon Pediatric Clinic Pc are as mentioned. Primary taxonomy code for Loudon Pediatric Clinic Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 12939 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Loudon Pediatric Clinic Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1503978 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 616 Ward Ave
Loudon, TN, 37774-1323
United States |
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| Phone Number : | 865-458-5666 |
|---|
| Fax Number : | 865-458-9906 |
|---|
Business Location:
Patients can refer following map for directions to
Loudon Pediatric Clinic Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.