Organization
BRENTWOOD CHILDRENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L. STOUT LPN (BILLING MANAGER)
(615) 261-1214
Entity
Organization
Contact information
Practice address
95 SEABOARD LN, SUTIE 201, BRENTWOOD, TN 37027-3031
(615) 261-1210
(615) 261-1222
Mailing address
95 SEABOARD LN, SUTIE 201, BRENTWOOD, TN 37027-3031
(615) 261-1210
(615) 261-1222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
03/09/2015
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