Organization · NPI-2

Thomas P. Chu, M.D., P.C.

Dermatology, MOHS-Micrographic Surgery · Cordova, TN

NPI number1689731028
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1689731028
Entity type
Organization (NPI-2)
Legal business name
Thomas P. Chu, M.D., P.C.
Organization subpart
No
Enumeration date
Jan 3, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic SurgeryMD0000016690TNYes

Practice location

520 Trinity Creek Cv
Cordova, TN 38018-2279

Phone 901-755-2511 · Fax 901-758-1965

Mailing address

520 Trinity Creek Cv
Cordova, TN 38018-2279

Phone 901-755-2511 · Fax 901-758-1965

Authorized official

Thomas Paul Chu
President
9017552511

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