NPI | 1295432284 |
---|---|
Doing Business As | TRANSFORMATIVE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | JILL C FICHTEL Owner/Physician 615-905-4994 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-02-10 |