Organization
CENTENNIAL PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE D HAMILTON MD (CEO OWNER)
(615) 373-2248
Entity
Organization
Contact information
Practice address
310 25TH AVE N, STE 201, NASHVILLE, TN 37203
(615) 625-7112
(615) 625-7028
Mailing address
310 25TH AVE N, STE 201, NASHVILLE, TN 37203
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731484
—
TN
Enumeration date
07/11/2006
Last updated
08/22/2013
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