Organization · Type 2 NPI
DRS Black&benton Pediatrics
Primary Care Clinic/Center · Knoxville, TN
NPI number
1376943878
Active
Practice location
4741 N Broadway St Ste B
Knoxville, TN 37918-1793
Fax (865) 687-0157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD17837 (TN) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1376943878
DRS Black&benton Pediatrics's National Provider Identifier is 1376943878, issued on Sep 3, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Knoxville, TN. The record was last updated on Sep 3, 2014.