Organization
LOUDON PEDIATRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PERRY GUIDER M.D. (PRESIDENT)
(865) 458-5666
Entity
Organization
Contact information
Practice address
616 WARD AVE, LOUDON, TN 37774-1323
(865) 458-5666
(865) 458-9906
Mailing address
616 WARD AVE, LOUDON, TN 37774-1323
(865) 458-5666
(865) 458-9906
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12939
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503978
—
TN
Enumeration date
05/20/2008
Last updated
03/07/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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