Columbia Pediatric Clinic, Inc.

NPI 1023146099 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023146099
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIFFANY L TIFFANY
Position OFFICE ADMINISTRATOR
Phone (931) 388-8965
Fax (931) 388-0815
Practice Location
1222 TROTWOOD AVE
STE 101
COLUMBIA TN, 38401-6436, US
Phone (931) 388-8965
Fax (931) 388-0815
Business Location
1222 TROTWOOD AVE
STE 101
COLUMBIA TN, 38401-6436, US
Phone (931) 388-8965
Fax (931) 388-0815
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Columbia Pediatric Clinic, Inc. NPI is 1023146099, taxonomy code is 261QP2300X Columbia Pediatric Clinic, Inc. physically located at 1222 Trotwood Ave, Columbia TN, 38401-6436. NPI Number 1033115704 has the healthcare provider type.

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1023146099 NPI number is provided on an as is basis without warranty of any kind. 1023146099 is maintained by the National Plan & Provider Enumeration System. The contents of Columbia Pediatric Clinic, Inc. are for informational purposes only.