Soddy Daisy Family Care
Pediatrics
Soddy Daisy Family Care is a Soddy Daisy, Tennessee based Pediatric center with medical specialization in
General Pediatrics. Soddy Daisy Family Care is also known as
Soddy Daisy Pediatrics.
It is located at
9089 Dayton Pike, Soddy Daisy, Tennessee - 37379-4313. They can be contacted on phone at
423-451-0622 and fax number 423-451-0624.
NPI number (Unique professional ID) for Soddy Daisy Family Care is
1487995304 which was assigned by NPPES on 04 Mar, 2013 and it was last updated on 12 May, 2017.
Soddy Daisy Family Care license number is
37633 for Pediatrics (208000000X) in Tennessee.
Soddy Daisy Family Care 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:
Soddy Daisy Family Care basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Soddy Daisy Family Care |
|---|
| Other Name : | Soddy Daisy Pediatrics |
|---|
Business Address:
Soddy Daisy Family Care 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 : | 9089 Dayton Pike
Soddy Daisy, TN, 37379-4313
United States |
|---|
| Phone Number : | 423-451-0622 |
|---|
| Fax Number : | 423-451-0624 |
|---|
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 : | 1487995304 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 04 Mar, 2013 |
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| Last Updated On : | 12 May, 2017 |
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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 : | Shahlaa Kaukab |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 423-451-0623 |
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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 Soddy Daisy Family Care are as mentioned. Primary taxonomy code for Soddy Daisy Family Care is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 29446 | TN |
| 208000000X | Pediatrics | Yes | 37633 | TN |
| 208000000X | Pediatrics | No | 28243 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Soddy Daisy Family Care such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1509389 | MEDICAID | TN | |
| 1511723 | MEDICAID | TN | |
| 3887638 | 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 : | 9089 Dayton Pike
Soddy Daisy, TN, 37379
United States |
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| Phone Number : | 423-451-0622 |
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| Fax Number : | 423-451-0624 |
|---|
Business Location:
Patients can refer following map for directions to
Soddy Daisy Family Care practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.