Organization
ATHENS PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ACKAOUY (OFFICE MANAGER)
(423) 745-5955
Entity
Organization
Contact information
Practice address
111 EPPERSON ST, ATHENS, TN 37303-3478
(423) 745-5955
(423) 745-6423
Mailing address
111 EPPERSON ST, ATHENS, TN 37303-3478
(423) 745-5955
(423) 745-6423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20337
TN
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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