Provider Demographics
NPI:1952406035
Name:COOL SPRINGS PEDIATRICS PLLC
Entity Type:Organization
Organization Name:COOL SPRINGS PEDIATRICS PLLC
Other - Org Name:PARTNERSHIP
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FISCUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-261-5437
Mailing Address - Street 1:508 AUTUM SPRINGS CT
Mailing Address - Street 2:STE 2B
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-261-5437
Mailing Address - Fax:615-261-5443
Practice Address - Street 1:508 AUTUM SPRINGS CT
Practice Address - Street 2:STE 2B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-261-5437
Practice Address - Fax:615-261-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty