Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Pediatric Genetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
2018 CLINCH AVENUE SOUTH TOWER 2ND FLOOR, KNOXVILLE, TN 37916-2301
(865) 525-1425
(877) 935-4221
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207SG0202X
Clinical Biochemical Genetics Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020703
—
TN
Enumeration date
12/30/2014
Last updated
12/30/2025
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