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Organization

CHILDREN'S CLINIC EAST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTI SMITH DOZIER (CREDENTIALING MANAGER)
(615) 234-7660
Entity
Organization

Contact information

Practice address
3901 CENTRAL PIKE, SUITE 251, HERMITAGE, TN 37076-3421
(615) 232-8033
Mailing address
3901 CENTRAL PIKE, SUITE 251, HERMITAGE, TN 37076-3421
(615) 232-8033

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/20/2006
Last updated
11/07/2019
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