Organization · NPI-2

360 Dermatology, PC

Dermatology · Franklin, TN

NPI number1891432159
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1891432159
Entity type
Organization (NPI-2)
Legal business name
360 Dermatology, PC
Organization subpart
No
Enumeration date
May 18, 2022
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

2001 Mallory Ln Ste 207
Franklin, TN 37067-8235

Phone 615-488-3376 · Fax 817-612-3586

Mailing address

2001 Mallory Ln Ste 207
Franklin, TN 37067-8235

Phone 615-488-3376

Authorized official

Nashay Clemetson
Co-Owner
6154883376

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