Brentwood Skin Clinic PLLC
Dermatology in Nashville, TN. Organization (NPI-2).
NPI number1043647142
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1043647142
- Entity type
- Organization (NPI-2)
- Legal business name
- Brentwood Skin Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2013
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 37546 | TN | Yes |
Practice location
5505 Edmondson PikeSuite 10
Nashville, TN 37211-5872
Phone 615-810-8730 · Fax 615-810-8731
Mailing address
5505 Edmondson PikeSuite 10
Nashville, TN 37211-5872
Phone 615-810-8730 · Fax 615-810-8731
Authorized official
Charles Austin Mitchell
President/Owner
6158108730
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