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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST TENNESSEE DERMATOLOGY GROUP, PC

Active Organization

EAST TENNESSEE DERMATOLOGY GROUP, PC is a Dermatology organization located in ALCOA, Tennessee. NPI 1891050407 is currently active in the NPPES registry. Verify at CMS.

Dermatology · ALCOA, TN

Registration Details

NPI Number
1891050407
Provider Type
Organization
NPI Issued
Jul 10, 2012 (14.113661428365 yrs)
Last Updated
Aug 10, 2012
Licenses
MD0000035046 (TN)
MD0000035046 (TN)
MD0000035046 (TN)

Practice Information

Address
133 ASSOCIATES BLVD
ALCOA, TN, 377011944
Browse TN providers · Browse ZIP 37701
Phone
8652337351
Fax
8652337352
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Procedural Dermatology
Additional Specialty
Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.