Organization
BLACKMON PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY WELLS (OFFICE MANAGER)
(865) 212-6441
Entity
Organization
Contact information
Practice address
7714 CONNER RD, SUITE 101, POWELL, TN 37849-3559
(865) 212-6350
Mailing address
7714 CONNER RD, SUITE 101, POWELL, TN 37849-3559
(865) 212-6350
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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