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Contact Information

CORNERSTONE PEDIATRICS LLC
298 CLEAR SKY CT STE C
CLARKSVILLE, TN37043-5685
 Phone: 931-444-9158
 Fax: 931-538-4673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CORNERSTONE PEDIATRICS LLC · (Female)

NPI # 1992309389
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2020
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN Medicaid Q060939
  • TN Other 48969 LICENSE
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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