Organization
TERRACE PEDIATRIC GROUP LLC
Active
Other names
Terrace Pediatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S PRICE MD (PARTNER)
(615) 327-9371
Entity
Organization
Contact information
Practice address
342 21ST AVE N, NASHVILLE, TN 37203-1848
(615) 327-9371
(615) 329-6652
Mailing address
342 21ST AVE N, NASHVILLE, TN 37203-1848
(615) 327-9371
(615) 329-6652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706486
—
TN
01
—
678067
AETNA
TN
Enumeration date
05/17/2006
Last updated
02/13/2014
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