Germantown Dermatology LLC
Dermatology in Germantown, TN. Organization (NPI-2).
NPI number1932831740
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1932831740
- Entity type
- Organization (NPI-2)
- Legal business name
- Germantown Dermatology LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
8000 Wolf River Blvd Ste 100Germantown, TN 38138-1756
Phone 901-579-7395 · Fax 901-425-9813
Mailing address
Po Box 17346Memphis, TN 38187-0346
Phone 901-218-0055
Authorized official
Joseph Pietrangelo
Owner
9015797395
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