| NPI | 1427128511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DAVID HUDSON Dermatologist President 423-928-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD0000013019) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |