Healthcare Provider Details

I. General information

NPI: 1396767885
Provider Name (Legal Business Name): TOTS & TEENS PEDIATRICS,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 08/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557A DANNAHER DRIVE SUITE 130
POWELL TN
37849-3568
US

IV. Provider business mailing address

7557B DANNAHER WAY SUITE G45
POWELL TN
37849-3568
US

V. Phone/Fax

Practice location:
  • Phone: 865-512-1180
  • Fax: 865-512-1185
Mailing address:
  • Phone: 865-512-1180
  • Fax: 865-512-1185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL FELD
Title or Position: OWNER
Credential: M.D.
Phone: 865-512-1180