Provider Demographics
NPI:1164414983
Name:HARPETH PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:HARPETH PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-771-2656
Mailing Address - Street 1:4085 MALLORY LN
Mailing Address - Street 2:STE. 204
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8290
Mailing Address - Country:US
Mailing Address - Phone:615-771-2656
Mailing Address - Fax:615-771-2659
Practice Address - Street 1:4085 MALLORY LN
Practice Address - Street 2:STE. 204
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8290
Practice Address - Country:US
Practice Address - Phone:615-771-2656
Practice Address - Fax:615-771-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty