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COLUMBIA PEDIATRIC CLINIC INC. NPI 1023146099


NPI Information

NPI: 1023146099
Provider Name: COLUMBIA PEDIATRIC CLINIC, INC.

Doing Business As: COLUMBIA PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2068197

Address:
1222 TROTWOOD AVE
STE 101
COLUMBIA, TN
ZIP 38401
Phone: (931) 388-8965
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COLUMBIA PEDIATRIC CLINIC, INC. is a primary care clinic center in Columbia, TN. COLUMBIA PEDIATRIC CLINIC, INC. NPI is 1023146099. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Pediatrics.

The provider's business location address is:

1222 TROTWOOD AVE
STE 101
COLUMBIA, TN
ZIP 38401-436
Phone: (931) 388-8965
Fax: (931) 388-0815

The provider's authorized official is Tiffany L Duncan .
The authorized official title is Office Administrator and has the following contact phone number (931) 388-8965.

The CLIA number assigned to this NPI record is 44D2068197 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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