Levy Dermatology, PC
Dermatology in Germantown, TN. Organization (NPI-2).
NPI number1508007790
StatusActive
Last updated in NPPESJan 16, 2013
Details
- NPI
- 1508007790
- Entity type
- Organization (NPI-2)
- Legal business name
- Levy Dermatology, PC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2009
- Last updated
- Jan 16, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD0000043501 | TN | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | MD0000043501 | TN | |
| 207NS0135X | Dermatology, Procedural Dermatology | MD0000043501 | TN |
Practice location
1920 Kirby Pkwy Ste 204Germantown, TN 38138-3697
Phone 901-624-3333 · Fax 901-624-1203
Mailing address
1920 Kirby Pkwy Ste 204Germantown, TN 38138-3697
Phone 901-624-3333 · Fax 901-624-1203
Authorized official
Alan Louis Levy
President/Ceo
9016820430
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