Individual
LILLIAN NICOLE BEAIRD-GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 292-9706
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 292-9706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028820
TN
208000000X
Pediatrics Physician
028820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I064694
MEDICARE - INDIVIDUAL
TN
05
—
3824953
—
TN
Enumeration date
07/04/2006
Last updated
12/21/2015
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