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ACACIA DERMATOLOGY NPI 1528216314


NPI Information

NPI: 1528216314
Provider Name: ACACIA DERMATOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D1088765

Address:
2131 N LOCUST AVE
SUITE D
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 762-6545
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ACACIA DERMATOLOGY is a specialist in Lawrenceburg, 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. ACACIA DERMATOLOGY NPI is 1528216314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2131 N LOCUST AVE
SUITE D
LAWRENCEBURG, TN
ZIP 38464-455
Phone: (931) 762-6545
Fax: (931) 762-6781

The provider's authorized official is Robert L Chen .
The authorized official title is Owner and has the following contact phone number (931) 762-6545.

The CLIA number assigned to this NPI record is 44D1088765 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 3/29/2014.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist43761TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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