Organization
PREMIER CARE PEDIATRICS
Active
Other names
Nestor A. Ojeda, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NESTOR A OJEDA M.D. (OWNER)
(931) 296-2737
Entity
Organization
Contact information
Practice address
300 S CLYDETON RD, WAVERLY, TN 37185-2140
(931) 296-2737
(931) 296-1656
Mailing address
PO BOX 368, WAVERLY, TN 37185-0368
(931) 296-2737
(931) 296-1656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021076
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003056699
—
TN
01
—
0111969
BLUECROSS BLUESHIELD OF TN
TN
Enumeration date
04/25/2013
Last updated
04/25/2013
Update your record
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