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1114528049
TENNESSEE TELEDERM PLLC
NASHVILLE, TN
NPI
1114528049
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Entity Type
Organization
Authorized Contact
STACY SNYDER
Credentialing Manager
480-565-1132
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
TENNESSEE TELEDERM PLLC
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Phone number: 615-513-1959
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Mailing Address
TENNESSEE TELEDERM PLLC
73 WHITE BRIDGE PIKE STE 103
NASHVILLE, TN 37205-1444
Phone number: 615-513-1959
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