Provider Demographics
NPI:1235124884
Name:STILES, ERIC FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FRANCIS
Last Name:STILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 WALLACE RD
Mailing Address - Street 2:STE 407
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4854
Mailing Address - Country:US
Mailing Address - Phone:615-942-1040
Mailing Address - Fax:615-942-1060
Practice Address - Street 1:397 WALLACE RD
Practice Address - Street 2:STE 407
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4854
Practice Address - Country:US
Practice Address - Phone:615-942-1040
Practice Address - Fax:615-942-1060
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD35955208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3899702Medicaid
H55297Medicare UPIN