Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Pediatric Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
2018 W CLINCH AVENUE, KNOXVILLE, TN 37916-2301
(865) 523-5437
(865) 246-7566
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073411
—
TN
Enumeration date
04/13/2022
Last updated
12/30/2025
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