Organization · Type 2 NPI

Tri-Cities Pediatric Endocrinology, PLLC

Medical Specialty Clinic/Center · Gray, TN

NPI number 1851721369 Active

Practice location

140 Old Gray Station Rd, Suite 200
Gray, TN 37615-3612

Fax (423) 546-4103

Mailing address

PO Box 3343
Johnson City, TN 37602-3343

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X37128 (TN)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1851721369

Tri-Cities Pediatric Endocrinology, PLLC's National Provider Identifier is 1851721369, issued on Nov 19, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Gray, TN. The record was last updated on Feb 5, 2015.