EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY

JOHNSON CITY, TN
NPI1356975106
Entity TypeOrganization
Authorized ContactSTUART S LEICHT
Physician
423-262-0112
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2020-03-02
Last Update Date2020-07-15
Business Address
EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY
2898 BOONES CREEK RD STE 105
JOHNSON CITY, TN 37615-4976
Phone number: 423-262-0112
Mailing Address
EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY
2898 BOONES CREEK RD STE 105
JOHNSON CITY, TN 37615-4976
Phone number: 423-262-0112