Individual
DR. KATHY CARTWRIGHT PHILYAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 SOUTH CEDAR AVENUE, SUITE 1, SOUTH PITTSBURG, TN 37380-1305
(423) 228-4159
Mailing address
325 SOUTH CEDAR AVENUE, SUITE 1, SOUTH PITTSBURG, TN 37380-1305
(423) 228-4159
(423) 228-4146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30360
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504526
—
TN
01
—
4076374
BCBS PROVIDER NUMBER
TN
01
—
TN0102
AMERICHOICE PROVIDER NUMBER
TN
Enumeration date
09/13/2006
Last updated
07/21/2021
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