Provider Demographics
NPI:1700379484
Name:HWN INCORPORATED
Entity Type:Organization
Organization Name:HWN INCORPORATED
Other - Org Name:STORRS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KRISTINA
Authorized Official - Last Name:STORRS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-739-5345
Mailing Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:615-523-1240
Practice Address - Street 1:317 SEVEN SPRINGS WAY STE 203
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4518
Practice Address - Country:US
Practice Address - Phone:703-725-2244
Practice Address - Fax:615-523-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty