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Organization

GOODLETTSVILLE PEDIATRICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATTY A SCHLEICHER (OFFICE MANAGER)
(615) 851-7865
Entity
Organization

Contact information

Practice address
3103 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3676
(615) 851-7865
(615) 851-7853
Mailing address
3103 BUSINESS PARK CIR STE 100, GOODLETTSVILLE, TN 37072-3676
(615) 851-7865
(615) 851-7853

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080A0000X
Pediatric Adolescent Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1513470
TN
01
4440551
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
09/19/2005
Last updated
09/22/2022
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