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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

NPI Number 1477513992
LBN Legal business name CORDOVA PEDIATRICS PLLC
Authorized official MONICA WRIGHT - (CHIEF MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
TN License # 0000032024
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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