PEDIATRIC PROFESSIONALS is a specialist in Jacksboro, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC PROFESSIONALS NPI is 1518112911. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
136 MOUNTAIN PERKINS LANE
SUITE 2
JACKSBORO, TN
ZIP 37757
Phone: (865) 250-3740
The provider's authorized official is Shahid Hasnain .
The authorized official title is Owner and has the following contact phone number (865) 250-3740.
The CLIA number assigned to this NPI record is 44D0965624 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/26/2008 and was last updated on 3/12/2009.