| NPI | 1508007790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LOUIS LEVY President/CEO 901-682-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD0000043501) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD0000043501) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: TN MD0000043501) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2013-01-16 |