Provider Demographics
NPI:1235750068
Name:TENNESSEE PEDIATRIC SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:TENNESSEE PEDIATRIC SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEE
Authorized Official - Suffix:III
Authorized Official - Credentials:DO, MBA
Authorized Official - Phone:931-732-4081
Mailing Address - Street 1:446 CHICKEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FRANKEWING
Mailing Address - State:TN
Mailing Address - Zip Code:38459-6002
Mailing Address - Country:US
Mailing Address - Phone:931-732-4081
Mailing Address - Fax:
Practice Address - Street 1:446 CHICKEN CREEK RD
Practice Address - Street 2:
Practice Address - City:FRANKEWING
Practice Address - State:TN
Practice Address - Zip Code:38459-6002
Practice Address - Country:US
Practice Address - Phone:931-732-4081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1531799Medicaid