Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Middle Tennessee and Adolescent Medicine PC

Organization Clinic/Center · NPI 1073634085

Middle Tennessee and Adolescent Medicine PC is a Clinic/Center in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Physicians Way Ste 200
Lebanon, TN 37090-8102
Phone: (615) 449-5611
Fax: (615) 443-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence MD023656 (TN)

Record details

NPI number1073634085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Claycomb — President · (615) 449-5611
NPI enumeratedApril 3, 2007
Last updated in NPPESMay 7, 2008
Mailing address100 Physicians Way, Suite 200, Lebanon, TN 37090-8102

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