Individual
ERICA A GRILLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 OLD PLEASANT GROVE RD, MT JULIET, TN 37122-4493
(629) 255-2164
(629) 255-4233
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
63276
TN
207ND0101X
MOHS-Micrographic Surgery Physician
63276
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q041770
—
TN
Enumeration date
04/21/2016
Last updated
06/13/2022
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