MURFREESBORO DERMATOLOGY CLINIC PLC NPI 1275553703

NPI Information

MURFREESBORO DERMATOLOGY CLINIC, PLC is a specialist in Murfreesboro, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MURFREESBORO DERMATOLOGY CLINIC, PLC NPI is 1275553703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1725 MEDICAL CENTER PKWY
SUITE 300
MURFREESBORO, TN
ZIP 37129-246
Phone: (615) 893-4100

The provider's authorized official is Caroline Nylen .
The authorized official title is Supervisor and has the following contact phone number (615) 849-4115.

The CLIA number assigned to this NPI record is 44D2302048 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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