Grilletta, Erica A

Grilletta, Erica A is an individual health care provider with primary practice located at 325 Old Pleasant Grove Rd , Mt Juliet TN 37122-4493. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Grilletta, Erica A can be contacted via phone (629) 255-2164.

Contact Information

Primary practice address
325 Old Pleasant Grove Rd Mt Juliet TN 37122-4493
Phone: (629) 255-2164
Fax: (629) 255-4233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 63276 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 63276 Tennessee

Profile Details

NPI number 1255785663
LBN Legal business name Grilletta, Erica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Jun 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255785663 NPPES
Tennessee MEDICAID Q041770

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