Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Pediatric and Adolescent Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
2100 CLINCH AVE STE 310, KNOXVILLE, TN 37916-2220
(865) 546-0221
(866) 323-3153
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 546-0221
(866) 323-3153
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057240
—
TN
Enumeration date
05/26/2020
Last updated
01/14/2026
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