Organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Other names
Claiborne County Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
1610 TAZEWELL RD STE 203, TAZEWELL, TN 37879-3648
(423) 259-3701
(866) 954-5783
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057244
—
TN
Enumeration date
05/21/2020
Last updated
01/14/2026
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