Whalio Doctors

NPI 1609424274

Bright Star Child and Adolescent Psychiatry LLC

Organisation Pediatrics Physician Maryville, TN

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
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

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.