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Organization

PEDIATRIC PROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHID HASNAIN M.D. (OWNER)
(865) 250-3740
Entity
Organization

Contact information

Practice address
136 MOUNTAIN PERKINS LANE, SUITE 2, JACKSBORO, TN 37757
(865) 250-3740
Mailing address
PO BOX 440305, SUITE 2, NASHVILLE, TN 37244-0305
(865) 250-3740

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30258
TN

Other

Enumeration date
11/26/2008
Last updated
03/12/2009
About Stedi
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Product
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  • EDI platform