Dermatology Group PC
Dermatology in Memphis, TN. Organization (NPI-2).
NPI number1992811277
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992811277
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Group PC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 5706 | TN | Yes |
Practice location
5210 Poplar AveSuite 100
Memphis, TN 38119-3515
Phone 901-761-0685 · Fax 901-761-0688
Mailing address
5210 Poplar AveSuite 100
Memphis, TN 38119-3515
Phone 901-761-0685 · Fax 901-761-0688
Authorized official
Dan Alexander Dunaway
MD
9017610685
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