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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
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