Organization
PREMIER PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE BARBARA PUGH M.D. (PRESIDENT)
(423) 929-2454
Entity
Organization
Contact information
Practice address
101 MED TECH PKWY, SUITE 405, JOHNSON CITY, TN 37604-4007
(423) 929-2454
Mailing address
101 MED TECH PKWY, SUITE 405, JOHNSON CITY, TN 37604-4007
(423) 929-2454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16282
TN
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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