Organization
THE PEDIATRIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA POWELL (OWNER)
(901) 317-7958
Entity
Organization
Contact information
Practice address
11870 CRANSTON DR STE 104, ARLINGTON, TN 38002-4913
(901) 831-8190
Mailing address
11870 CRANSTON DR STE 104, ARLINGTON, TN 38002-4913
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
05/08/2021
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