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1679761274
KNOXVILLE DERMATOLOGY GROUP PC
KNOXVILLE, TN
NPI
1679761274
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Entity Type
Organization
Authorized Contact
DAVID L SHUPP
President
865-690-9467
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
KNOXVILLE DERMATOLOGY GROUP PC
1928 ALCOA HWY SUITE 209
KNOXVILLE, TN 37920-1502
Phone number: 865-546-7521
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Mailing Address
KNOXVILLE DERMATOLOGY GROUP PC
200 FORT SANDERS WEST BLVD SUITE 102
KNOXVILLE, TN 37922-3357
Phone number: 865-690-9467
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