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
Update your record
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