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Suparna Mullick, MD

Dermatology in Germantown, TN. Individual provider (NPI-1).

NPI number1366547713
StatusActive
Last updated in NPPESJul 27, 2022

Details

NPI
1366547713
Entity type
Individual (NPI-1)
Name
Suparna Mullick
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 13, 2006
Certification date
Jul 27, 2022
Last updated
Jul 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology49897TNYes
208000000X Pediatrics2006013531MO

Practice location

3036 Centre Oak Way
Germantown, TN 38138-6302

Phone 901-572-0005 · Fax 901-572-1102

Mailing address

Po Box 758
Paris, TN 38242-0758

Phone 901-572-0005 · Fax 901-572-1102

Other practice locations

9760 Lipsey Cv
Germantown, TN 38139-8076

Phone 901-277-3534 · Fax 901-757-9065

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