Adult & Pediatric Dermatology Of Tullahoma Pc in Tullahoma - Dermatology
Adult & Pediatric Dermatology Of Tullahoma Pc - NPI 1881658243
Adult & Pediatric Dermatology Of Tullahoma Pc is a Dermatology in Tullahoma, Tennessee. Adult & Pediatric Dermatology Of Tullahoma Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Adult & Pediatric Dermatology Of Tullahoma Pc is 1881658243. The last update date is 2009-12-03.
Adult & Pediatric Dermatology Of Tullahoma Pc's current location address is 100 William Northern Blvd, Tullahoma, Tennessee. You can contact this provider via phone number 9314557400 and fax number 9314556344. The mailing address for Adult & Pediatric Dermatology Of Tullahoma Pc is 100 William Northern Blvd, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Adult & Pediatric Dermatology Of Tullahoma Pc |
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Address | 100 William Northern Blvd, Tullahoma, Tennessee |
Phone Number | 9314557400 |
Fax Number | 9314556344 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Takegami T Ken |
Credentials | MD |
Telephone Number | 9314557400 |
NPI Number Detail
NPI Number | 1881658243 |
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Provider Enumeration Date | 2006-04-13 |
Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
Address | 100 William Northern Blvd |
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City | Tullahoma |
State | Tennessee (TN) |
Post Code | 37388 |
Phone Number | 9314557400 |
Fax Number | 9314556344 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | MD0000021099 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3373903 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Adult & Pediatric Dermatology Of Tullahoma Pc?
The Adult & Pediatric Dermatology Of Tullahoma Pc has been issued the NPI (National Provider Identifier) 1881658243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Adult & Pediatric Dermatology Of Tullahoma Pc is physically located?
The Adult & Pediatric Dermatology Of Tullahoma Pc is situated at the following address: 100 William Northern Blvd, Tullahoma, TN 37388.
What is the Adult & Pediatric Dermatology Of Tullahoma Pc's area of specialization and corresponding taxonomy classification?
The Adult & Pediatric Dermatology Of Tullahoma Pc's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Adult & Pediatric Dermatology Of Tullahoma Pc receive the assignment of its 1881658243 from the Centers for Medicare & Medicaid Services?
The Adult & Pediatric Dermatology Of Tullahoma Pc was issued its 1881658243 by the Centers for Medicare & Medicaid Services on 2006-04-13.
When was the information pertaining to Adult & Pediatric Dermatology Of Tullahoma Pc most recently updated or revised?
The details related to Adult & Pediatric Dermatology Of Tullahoma Pc, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-03.