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Organization

THE CHILDREN'S CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BILL KEITH TOLAR MD (CEO)
(931) 762-5988
Entity
Organization

Contact information

Practice address
2121 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-4454
(931) 762-5988
(931) 762-3389
Mailing address
2121 N LOCUST AVE, SUITE 1, LAWRENCEBURG, TN 38464-4454
(931) 762-5988
(931) 762-3389

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24258
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3732098
TN
Enumeration date
04/24/2006
Last updated
01/11/2012
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