Organization
KIDS CARE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE TAYLOR NP (OFFICE MANAGER)
(423) 201-1755
Entity
Organization
Contact information
Practice address
502 W CENTRAL AVE, LA FOLLETTE, TN 37766-3400
(423) 201-1755
Mailing address
503 W CENTRAL AVE STE C, LA FOLLETTE, TN 37766-3486
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
09/16/2025
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