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Contact Information

GOODLETTSVILLE PEDIATRICS, PC
3103 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN37072-3676
 Phone: 615-851-7865
 Fax: 615-851-7853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GOODLETTSVILLE PEDIATRICS PC · (Female)

NPI Number 1093700833
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2005
Last updated 09/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid 1513470
  • Other 4440551 NCPDP PROVIDER IDENTIFICATION NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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