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1689853806
KNOXVILLE DERMATOLOGY GROUP PC
KNOXVILLE, TN
NPI
1689853806
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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
2007-10-25
Last Update Date
2007-10-25
Business 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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Mailing Address
KNOXVILLE DERMATOLOGY GROUP PC
200 FORT SANDERS WEST BLVD SUITE 102
KNOXVILLE, TN 37922-3357
Phone number: 865-690-9467
Copy
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