KNOXVILLE DERMATOLOGY GROUP PC NPI 1689853806

NPI Information

KNOXVILLE DERMATOLOGY GROUP PC is a non pharmacy dispensing site in Knoxville, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KNOXVILLE DERMATOLOGY GROUP PC NPI is 1689853806. The provider is registered as an organization entity type.

The provider's business location address is:

200 FORT SANDERS WEST BLVD
SUITE 102
KNOXVILLE, TN
ZIP 37922-357
Phone: (865) 690-9467
Fax: (865) 342-5857

The provider's authorized official is David L Shupp .
The authorized official title is President and has the following contact phone number (865) 690-9467.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.

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:

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