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
Update your record
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