THE CHILDREN'S CLINIC PC NPI 1265498810

NPI Information

  • NPI: 1265498810
  • Provider Name: THE CHILDREN'S CLINIC PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2121 N LOCUST AVE
    SUITE 1
    LAWRENCEBURG, TN
    ZIP 38464
  • Phone: (931) 762-5988

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NPI Details

THE CHILDREN'S CLINIC PC is a specialist in Lawrenceburg, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THE CHILDREN'S CLINIC PC NPI is 1265498810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 N LOCUST AVE
SUITE 1
LAWRENCEBURG, TN
ZIP 38464-454
Phone: (931) 762-5988
Fax: (931) 762-3389

The provider's authorized official is Bill Keith Tolar .
The authorized official title is Ceo and has the following contact phone number (931) 762-5988.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 1/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist24258TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13732098MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
2G17050MEDICARE UPINTENNESSEE
33732098MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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