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
Update your record
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