Healthcare Provider Details

I. General information

NPI: 1982970323
Provider Name (Legal Business Name): EMILY CLAYBON BIRD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY CLAYBON M.D.

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY STE 1014
NASHVILLE TN
37232-9001
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 513-312-3330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52902
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: