# KIDZCARE PEDIATRICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kidzcare Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679805493
- **Authorized official:** DR. SAJI GOPINATHAN M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (423) 745-7500

## Contact information

- **Practice address:** 119 EPPERSON ST, ATHENS, TN 37303-3478
- **Practice address phone:** (423) 745-7500
- **Practice address fax:** (423) 745-7501
- **Mailing address:** PO BOX 925, ATHENS, TN 37371-0925
- **Mailing address phone:** (423) 745-7500
- **Mailing address fax:** (423) 745-7501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | MD0000034697 | TN | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 01/11/2011