Organization
CORNERSTONE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GRIFFIETH REGISTERED NURSE (OFFICE MANAGER-RN)
(931) 444-9158
Entity
Organization
Contact information
Practice address
298 CLEAR SKY CT STE C, CLARKSVILLE, TN 37043-5685
(931) 444-9158
(931) 538-4673
Mailing address
298 CLEAR SKY CT STE C, CLARKSVILLE, TN 37043-5685
(931) 444-9158
(931) 538-4673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48969
LICENSE
TN
05
—
Q060939
—
TN
Enumeration date
11/25/2020
Last updated
03/07/2023
Update your record
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