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EAST TENNESSEE DERMATOLOGY GROUP PC NPI 1891050407


NPI Information

NPI: 1891050407
Provider Name: EAST TENNESSEE DERMATOLOGY GROUP, PC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
133 ASSOCIATES BLVD
ALCOA, TN
ZIP 37701
Phone: (865) 233-7351
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EAST TENNESSEE DERMATOLOGY GROUP, PC is a dermatology in Alcoa, TN. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. EAST TENNESSEE DERMATOLOGY GROUP, PC NPI is 1891050407. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

133 ASSOCIATES BLVD
ALCOA, TN
ZIP 37701-944
Phone: (865) 233-7351
Fax: (865) 233-7352

The provider's authorized official is Robert Paul Unkefer .
The authorized official title is President and has the following contact phone number (865) 233-7351.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 8/10/2012.


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 SurgeryMD0000035046TENNESSEENo
2207NS0135XDermatologyProcedural DermatologyMD0000035046TENNESSEENo
3207N00000XDermatologyMD0000035046TENNESSEEYes

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: 4/28/2024

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