Provider Demographics
NPI:1639495195
Name:PEDIATRIC PARTNERS OF NASHVILLE, PLLC
Entity Type:Organization
Organization Name:PEDIATRIC PARTNERS OF NASHVILLE, PLLC
Other - Org Name:NASHVILLE AND SMYRNA PEDIATRIC PARTNERS, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:F
Authorized Official - Last Name:STILES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-420-6500
Mailing Address - Street 1:397 WALLACE RD
Mailing Address - Street 2:SUITE 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:SUITE 407
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4854
Practice Address - Country:US
Practice Address - Phone:615-420-6500
Practice Address - Fax:615-420-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35955208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty