Organization
CHILD NEUROLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA M LITMAN (PRACTICE ADMINISTRATOR)
(865) 523-5437
Entity
Organization
Contact information
Practice address
2100 W CLINCH AVE, SUITE 440, KNOXVILLE, TN 37916-2219
(865) 523-5437
(865) 523-3559
Mailing address
2100 W CLINCH AVE, SUITE 440, KNOXVILLE, TN 37916-2219
(865) 523-5437
(865) 523-3559
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194274
BLUE CROSS
TN
05
—
194274
—
TN
Enumeration date
08/08/2006
Last updated
08/23/2007
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