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44D0686235 CLIA NUMBER - MID-SOUTH DERMATOLOGY, PC

Laboratory Demographics

CLIA Number: 44D0686235

Facility Name: MID-SOUTH DERMATOLOGY, PC

Facility Address:
6644 SUMMER KNOLL CIRCLE
BARTLETT, TN
ZIP 38134
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Facility Phone Number: 901 372-4545

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1316024193

Taxonomy: 208600000X - Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CLIA Record

Field Name Field Value
CLIA Number 44D0686235
LAB Type Physician Office
Facility Name MID-SOUTH DERMATOLOGY, PC
Street 6644 SUMMER KNOLL CIRCLE
City BARTLETT
State TN
ZIP 38134
Phone 901 372-4545
CertificateType 2
CertificateEffectiveDate 6/9/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024