NPI 1609424274
Bright Star Child and Adolescent Psychiatry LLC
Practice location
- Address
- 641 Morganton Square Dr, Maryville, TN 37801-4763
- Phone
- (865) 724-1590
- Fax
- (865) 724-1591
Authorised official
- Name
- Linda Cabage
- Title
- Owner
- Phone
- (865) 724-1590
Registered specialties (2)
Pediatrics Physician
Primary
Child & Adolescent Psychiatry Physician
Registry record
- NPI
- 1609424274
- Entity type
- Organization
- NPI issued
- 27 Aug 2019
- Record last updated
- 16 May 2022
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.