Centennial Pediatrics Pc

LBN: Centennial Pediatrics Pc
Centennial Pediatrics Pc is an health care organization with primary practice located at 310 25Th Ave N Ste 201, Nashville TN 37203. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Centennial Pediatrics Pc can be contacted via phone (615) 625-7112, or through Hamilton, Eddie D via phone (615) 373-2248.

Contact Information

Primary practice address
310 25Th Ave N Ste 201 Nashville TN 37203
Phone: (615) 625-7112
Fax: (615) 625-7028
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Eddie D Doctor of Medicine (MD)
Phone: (615) 373-2248

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1477588523
LBN Legal business name Centennial Pediatrics Pc
DBA Doing business as
Authorized official Hamilton, Eddie D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477588523 NPPES
Tennessee MEDICAID 3731484

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