NPI | 1033121157 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS DAVID SLAWSKY President 865-380-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD0000026250) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2020-08-22 |