Provider Demographics
NPI:1558356261
Name:PIERCE, ELIZABETH P (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:P
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 1:807 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2307
Mailing Address - Country:US
Mailing Address - Phone:615-859-6650
Mailing Address - Fax:615-851-1983
Practice Address - Street 1:807 MEADOWLARK LN
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2307
Practice Address - Country:US
Practice Address - Phone:615-859-6650
Practice Address - Fax:615-851-1983
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0026239OtherBCBS
TN3184886Medicare ID - Type Unspecified
TN0026239OtherBCBS