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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOUDON PEDIATRIC CLINIC PC

Active Organization

Pediatrics · LOUDON, TN

Registration Details

NPI Number
1356508188
Provider Type
Organization
NPI Issued
May 20, 2008 (17.962617719668 yrs)
Last Updated
Mar 7, 2014
License
12939 (TN)

Practice Information

Address
616 WARD AVE
LOUDON, TN, 377741323
Browse TN providers · Browse ZIP 37774
Phone
8654585666
Fax
8654589906
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.