Dr. Clarence B Creech II
Pediatrician Pediatric Emergency Doctor Pediatric Infectious Diseases
3601 The Vanderbilt Clinic
Nashville
, Tennessee 37232-5100
Dr. Clarence B Creech II
Pediatrician Pediatric Emergency Doctor Pediatric Infectious Diseases
3601 The Vanderbilt Clinic
Nashville
, Tennessee 37232-5100
(615) 936-6095
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Clarence B Creech II
- 4163 Village At Vanderbilt
- Nashville, TN
- Zip : 37232-8678
- Fax : (615) 936-6095
- Phone : (615) 322-3573
Second Address
- Dr. Clarence B Creech II
- 3601 The Vanderbilt Clinic
- Nashville, TN
- Zip : 37232-5100
- Phone : (615) 322-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD37162 | TN |
| N | 2080P0204X | Pediatric Emergency Doctor | MD37162 | TN |
| Y | 2080P0208X | Pediatric Infectious Diseases | MD37162 | TN |
National Provider Identifier
| NPI | 1093742033 |
|---|---|
| Provider Name | Dr. Clarence B Creech II |
| First Address | Nashville, TN 37232-8678 |
| Second Address | Nashville, TN 37232-5100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 15/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3889604 | (05) | TN |
| 620476822 | TAX ID (01) | |
| H98632 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.