| NPI | 1710035308 |
|---|---|
| Doing Business As | THE PEDIATRIC PLACE |
| Entity Type | Organization |
| Authorized Contact | STEVE LEECH Controller 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |