| NPI | 1255938502 |
|---|---|
| Other Name | UDERM - DERMATOLOGY & MOHS SURGERY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN MILLER Physician/Owner 423-206-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |