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 1669104196

East Tennessee Children's Primary Care Center, Inc provides Pediatrics Physician services in Harriman, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
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

1705 Roane State Hwy
Harriman, TN 37748-8306
Phone: (865) 316-5001
Fax: (865) 376-3713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1669104196
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 Dolly Parton Children'S Hospital Roane County Pediatrics; Roane County Pediatrics
NPI enumeratedJune 24, 2022
Last updated in NPPESSeptember 5, 2026
Certification dateSeptember 5, 2026
Mailing addressPo Box 50068, Knoxville, TN 37950-0068

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