Knoxville Dermatology Group Pc in Knoxville - Non-pharmacy Dispensing Site

Knoxville Dermatology Group Pc - NPI 1679761274

Knoxville Dermatology Group Pc is a Non-pharmacy Dispensing Site in Knoxville, Tennessee. Knoxville Dermatology Group Pc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Knoxville Dermatology Group Pc is 1679761274. The last update date is 2007-10-09.

Knoxville Dermatology Group Pc's current location address is 200 Fort Sanders West Blvd, Knoxville, Tennessee. You can contact this provider via phone number 8656909467 and fax number 8653425857. The mailing address for Knoxville Dermatology Group Pc is 200 Fort Sanders West Blvd, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Knoxville Dermatology Group Pc
Address 200 Fort Sanders West Blvd, Knoxville, Tennessee
Phone Number 8656909467
Fax Number 8653425857
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shupp L David
Credentials MD
Telephone Number 8656909467

NPI Number Detail

NPI Number 1679761274
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 200 Fort Sanders West Blvd
City Knoxville
State Tennessee (TN)
Post Code 379223357
Phone Number 8656909467
Fax Number 8653425857

Provider's Primary Taxonomy Detail

Speciality Non-pharmacy Dispensing Site
Taxonomy 332900000X
Definition:
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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FAQs about Knoxville Dermatology Group Pc

What is the unique 10-digit identification code issued to Knoxville Dermatology Group Pc by the Centers for Medicare & Medicaid Services?

The Knoxville Dermatology Group Pc has been assigned the NPI (National Provider Identifier) 1679761274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Knoxville Dermatology Group Pc's facilities are geographically located?

The facilities of Knoxville Dermatology Group Pc are physically situated at the following location: 200 Fort Sanders West Blvd, Knoxville, TN, 379223357.

What is Knoxville Dermatology Group Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Knoxville Dermatology Group Pc's area of specialization is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this field of practice is 332900000X.

On what date did Knoxville Dermatology Group Pc receive its 1679761274 assignment from the Centers for Medicare & Medicaid Services?

The Knoxville Dermatology Group Pc was assigned its 1679761274 on 2007-10-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Knoxville Dermatology Group Pc's information last updated?

The Knoxville Dermatology Group Pc's information was last updated on 2007-10-09.

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