Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Tennessee Children's Primary Care Center, Inc

Organization Pediatrics Physician · NPI 1457557134

East Tennessee Children's Primary Care Center, Inc provides Pediatrics Physician services in Clinton, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2130 N Charles G Seivers Blvd Ste 4
Clinton, TN 37716-6705
Phone: (865) 457-4044
Fax: (866) 699-4833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1457557134
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Tennessee Children's Primary Care Center, Inc
Authorized official Andrew Rosendahl — Chief Financial Officer · (865) 541-8154
Other names Clinton Pediatrics; Dolly Parton Children'S Hospital Clinton Pediatrics
NPI enumeratedJune 21, 2007
Last updated in NPPESSeptember 5, 2026
Certification dateSeptember 5, 2026
Mailing addressPo Box 50068, Knoxville, TN 37950-0068

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