Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Loudon Pediatric Clinic PC

Organization Pediatrics Physician · NPI 1356508188

Loudon Pediatric Clinic PC is a Pediatrics Physician in Loudon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

616 Ward Ave
Loudon, TN 37774-1323
Phone: (865) 458-5666
Fax: (865) 458-9906
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12939 (TN)

Record details

NPI number1356508188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Guider — President · (865) 458-5666
NPI enumeratedMay 20, 2008
Last updated in NPPESMarch 7, 2014
Mailing address616 Ward Ave, Loudon, TN 37774-1323

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