Cornerstone Pediatrics LLC
Pediatrics in Clarksville, TN. Organization (NPI-2).
NPI number1992309389
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1992309389
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – |
Practice location
298 Clear Sky Ct Ste CClarksville, TN 37043-5685
Phone 931-444-9158 · Fax 931-538-4673
Mailing address
298 Clear Sky Ct Ste CClarksville, TN 37043-5685
Phone 931-444-9158 · Fax 931-538-4673
Authorized official
Kathy Griffieth
Office Manager-Rn
9314449158
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