Provider First Line Business Practice Location Address:
CHILDRENS MEDICAL GROUP
Provider Second Line Business Practice Location Address:
3786 CENTRAL PIKE STE. 130
Provider Business Practice Location Address City Name:
HERMITAGE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-883-2200
Provider Business Practice Location Address Fax Number:
615-883-1104
Provider Enumeration Date:
04/01/2011