Organization · Type 2 NPI

Mountain States Health Alliance

Pediatrics Physician · Johnson City, TN

NPI number 1124426259 Active

Practice location

400 N State Of Franklin Rd, Niswonger Children's Hospital Admin
Johnson City, TN 37604-6035

Fax (423) 431-3949

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed
Pediatric Critical Care Medicine Physician 2080P0203XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1124426259

Mountain States Health Alliance's National Provider Identifier is 1124426259, issued on Dec 5, 2014. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Johnson City, TN. The record was last updated on Feb 26, 2018.