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CALLADERM LLC NPI 1316283252


NPI Information

NPI: 1316283252
Provider Name: CALLADERM LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 44D2069543

Address:
8 SHERIDAN SQ
SUITE 110
KINGSPORT, TN
ZIP 37660
Phone: (423) 408-1504
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CALLADERM LLC is a mohs-micrographic surgery dermatology in Kingsport, TN. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. CALLADERM LLC NPI is 1316283252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8 SHERIDAN SQ
SUITE 110
KINGSPORT, TN
ZIP 37660-478
Phone: (423) 408-1504

The provider's authorized official is Jami L Reaves .
The authorized official title is Physician and has the following contact phone number (423) 408-1504.

The CLIA number assigned to this NPI record is 44D2069543 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/21/2012 and was last updated on 4/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryDO0000002262TENNESSEEYes

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: 11/14/2023

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