Organization
KIDZCARE PEDIATRICS, PLLC
Active
Other names
Kidzcare Pediatrics Madisonville
Organization subpart
No
Provider details
NPI number
Authorized official
SAJI KOTTAPPURA GOPINATHAN M.D. (PRESIDENT)
(423) 745-7500
Entity
Organization
Contact information
Practice address
4233 HIGHWAY 411, SUITE B, MADISONVILLE, TN 37354-1571
(423) 745-7500
(423) 745-7501
Mailing address
PO BOX 925, ATHENS, TN 37371-0925
(423) 745-7500
(423) 745-7501
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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