Provider Demographics
NPI:1417488180
Name:PIERCE, ERIN OLSEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:OLSEN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 S CREST RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-4005
Mailing Address - Country:US
Mailing Address - Phone:662-617-1266
Mailing Address - Fax:256-289-2500
Practice Address - Street 1:8490 HIGHWAY 72 W STE 100
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9575
Practice Address - Country:US
Practice Address - Phone:256-724-3587
Practice Address - Fax:601-984-2086
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.40979208000000X, 208000000X
TN61492208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN61492OtherTENNESSEE STATE LICENSE
ALMD.40979OtherAL STATE LICENSE