Organization · Type 2 NPI
Holston Pediatric and Adolescent Care
Pediatric Adolescent Medicine Physician · Kingsport, TN
NPI number
1285723585
Active
Practice location
698 Clinchfield St
Kingsport, TN 37660-3630
Fax (423) 246-8907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | MD0000011946 (TN) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
About NPI 1285723585
Holston Pediatric and Adolescent Care's National Provider Identifier is 1285723585, issued on Oct 12, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Kingsport, TN. The record was last updated on Jun 17, 2008.