LOUDON DERMATOLOGY P.C. NPI 1760537542

NPI Information

LOUDON DERMATOLOGY, P.C. is a specialist in Lenoir City, 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. LOUDON DERMATOLOGY, P.C. NPI is 1760537542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

576 FORT LOUDOUN MEDICAL CENTER DR
SUITE 108
LENOIR CITY, TN
ZIP 37772-676
Phone: (865) 986-5526
Fax: (865) 986-5493

The provider's authorized official is Emese Suranyi .
The authorized official title is Owner and has the following contact phone number (865) 986-5526.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/12/2008.

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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