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Contact Information

CORDOVA PEDIATRICS PLLC
1665 BONNIE LANE
SUITE 101
CORDOVA, TN38016
 Phone: 901-531-8555
 Fax: 901-531-8560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CORDOVA PEDIATRICS PLLC · (Female)

NPI Number 1477513992
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 0000032024
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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