Organization
DAYTON PEDIATRICS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D NELSON M.D.,F.A.A.P. (PRESIDENT)
(423) 775-5512
Entity
Organization
Contact information
Practice address
149 WALNUT GROVE CHURCH RD, DAYTON, TN 37321-7925
(423) 775-5512
(423) 775-0155
Mailing address
149 WALNUT GROVE CHURCH RD, DAYTON, TN 37321-7925
(423) 775-5512
(423) 775-0155
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0445-533 9
TN.DEPT.LABOR WORK FORCE
TN
Enumeration date
05/11/2007
Last updated
08/22/2020
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