Cory V Trickett in Bristol - Mohs-micrographic Surgery

Cory V Trickett - NPI 1922158500

Cory V Trickett is a Mohs-micrographic Surgery in Bristol, Tennessee. Cory V Trickett practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Cory V Trickett is 1922158500. The last update date is 2019-02-12.

Cory V Trickett's current location address is 3183 W State St, Bristol, Tennessee. You can contact this provider via phone number 4237647131 and fax number 4232453136. The mailing address for Cory V Trickett is 3183 W State St, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Cory V Trickett
Address 3183 W State St, Bristol, Tennessee
Phone Number 4237647131
Fax Number 4232453136
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1922158500
Provider Enumeration Date 2007-01-12
Last Updated Date 2019-02-12

Provider Mailing Address Detail

Address 3183 W State St
City Bristol
State Tennessee (TN)
Post Code 376201712
Phone Number 4237647131
Fax Number 4232453136

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 73663
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

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FAQs about Cory V Trickett

What is the Cory V Trickett's unique identification number?

The Cory V Trickett has been assigned the NPI (National Provider Identifier) Number 1922158500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Cory V Trickett?

The Cory V Trickett is situated at 3183 W State St, in the city of Bristol, state of TN, with the zip code 376201712.

What is Cory V Trickett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Cory V Trickett is Mohs-micrographic Surgery, and the taxonomy code that categorizes this field of expertise is 207Nd0101X.

On what date did the Cory V Trickett receive the assignment of its 1922158500 from the Centers for Medicare & Medicaid Services?

The Cory V Trickett was issued its 1922158500 by the Centers for Medicare & Medicaid Services on 2007-01-12.

As of what date was the information pertaining to Cory V Trickett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cory V Trickett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-12.

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