Individual
EDGAR H PIERCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
049632
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22406
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8783
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005002689
TLC TENNCARE
TN
05
—
000923601A
—
GA
05
—
000923601D
—
GA
05
—
009989925
—
AL
01
—
100025363
PHP TENNCARE
TN
01
—
10054267
AMERIGROUP GA MEDICAIDCMO
GA
01
—
119455
UNISON TENNCARE
TN
05
—
200176420
—
IN
01
—
3045385
BLUE CROSS
TN
05
—
3069954
—
TN
01
—
319817
WELLCARE MEDICAID GA CMO
GA
01
—
52802578004
BLUE CROSS
GA
05
—
64777055
—
KY
05
—
89063HG
—
NC
Enumeration date
09/27/2006
Last updated
09/02/2010
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