Organization · NPI-2
Fichtel Dermatology PLLC
Dermatology · Franklin, TN
NPI number1295432284
StatusActive
Last updated in NPPESFeb 10, 2023
Details
- NPI
- 1295432284
- Entity type
- Organization (NPI-2)
- Legal business name
- Fichtel Dermatology PLLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2023
- Certification date
- Feb 9, 2023
- Last updated
- Feb 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Other names
- Transformative Dermatology (Doing Business As)
Practice location
1909 Mallory Ln Ste 302Franklin, TN 37067-2843
Phone 615-905-4994 · Fax 615-224-6950
Mailing address
1909 Mallory Ln Ste 302Franklin, TN 37067-2843
Phone 615-905-4994 · Fax 615-224-6950
Authorized official
Jill C Fichtel
Owner/Physician
6159054994
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