Provider Demographics
NPI:1851422349
Name:GREEN HILLS PEDIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:GREEN HILLS PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-385-1451
Mailing Address - Street 1:4322 HARDING PIKE
Mailing Address - Street 2:SUITE 229
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2490
Mailing Address - Country:US
Mailing Address - Phone:615-385-1451
Mailing Address - Fax:615-298-4257
Practice Address - Street 1:4322 HARDING PIKE
Practice Address - Street 2:SUITE 229
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2490
Practice Address - Country:US
Practice Address - Phone:615-385-1451
Practice Address - Fax:615-298-4257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty