Organization
CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON R LINGINFELTER FNP (PRACTICE ADMINISTRATOR)
(865) 379-2277
Entity
Organization
Contact information
Practice address
616 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 379-2277
(865) 379-1191
Mailing address
616 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 379-2277
(865) 379-1171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TN
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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