Organization
CLEVELAND PEDIATRICS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA GAIL OWNBY RN, CPMSM (PRACTICE MANAGER)
(423) 479-9733
Entity
Organization
Contact information
Practice address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
(423) 472-1890
Mailing address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
(423) 472-1890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16047
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3381759
—
TN
Enumeration date
03/10/2008
Last updated
03/10/2008
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