Basic Information
| Provider Information | |||||||||
| NPI: | 1013182260 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TENNESSEE PEDIATRICS P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6640 CAROTHERS PKWY | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | FRANKLIN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155504030 | ||||||||
| FaxNumber: | 6155504035 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 SPRINGHOUSE COURT | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158262080 | ||||||||
| FaxNumber: | 6155504035 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2008 | ||||||||
| LastUpdateDate: | 03/31/2017 | ||||||||
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| AuthorizedOfficialLastName: | HUDSON | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6155504030 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.