Organization
BRIGHT STAR CHILD AND ADOLESCENT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CABAGE APRN (OWNER)
(865) 724-1590
Entity
Organization
Contact information
Practice address
641 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4763
(865) 724-1590
(865) 724-1591
Mailing address
641 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4763
(865) 724-1592
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/27/2019
Last updated
05/16/2022
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