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Organization

KIDSFIRST PEDIATRICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD S MCGILL D.O. (PRESIDENT)
(423) 798-6630
Entity
Organization

Contact information

Practice address
5000 MONARCH PT, GREENEVILLE, TN 37745-4275
(423) 798-6630
(423) 798-6633
Mailing address
5000 MONARCH PT, GREENEVILLE, TN 37745-4275
(423) 798-6630
(423) 798-6633

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO0000001255
TN
363A00000X
Physician Assistant
363LP0200X
Pediatric Nurse Practitioner
APN0000007290
TN

Other

Enumeration date
01/11/2007
Last updated
08/31/2007
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