OrganizationActive
Loudon County Pediatrics, PC
NPI 1578881132 · Pediatric Clinical Nurse Specialist · Lenoir City, TN
Provider details
- NPI number
- 1578881132
- Entity type
- Organization
- Primary specialty
- Pediatric Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dwight Bivens, Secretary/Treasurer(865) 986-9233
- License
- 145961 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
423 Medical Park Dr
Lenoir City, TN 37772-5640
Phone: (865) 986-9233
Fax: (865) 986-0148
Approximate (ZIP-level) locationGet directions
Mailing address
423 Medical Park Dr
Lenoir City, TN 37772-5640
Registry dates
- Enumerated
- 2010-05-06
- Last updated
- 2010-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.