NPI 1003039223

Cedar Creek Pediatric & Adolescent Medicine, PC

Organisation Pediatrics Physician Maryville, TN

Practice location

Address: 616 Smithview Dr, Maryville, TN 37803-6100
Phone: (865) 379-2277
Fax: (865) 379-1191

Authorised official

Name: Shannon R Linginfelter
Title: Practice Administrator
Phone: (865) 379-2277

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Tennessee →

Registry record

NPI: 1003039223
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.