Advanced Dermatology And Skin Cancer Associates, PLLC
Dermatology, Clinical & Laboratory Dermatological Immunology in Germantown, TN. Organization (NPI-2).
NPI number1265604888
StatusActive
Last updated in NPPESApr 25, 2008
Details
- NPI
- 1265604888
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dermatology And Skin Cancer Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2008
- Last updated
- Apr 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NI0002X | Dermatology, Clinical & Laboratory Dermatological Immunology | – | – | Yes |
Practice location
7658 Poplar PikeGermantown, TN 38138
Phone 901-831-6055
Mailing address
7658 Poplar PikeGermantown, TN 38138
Phone 901-831-6055
Authorized official
Purvisha J Patel
Owner
9018316055
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