NPI | 1740483692 |
---|---|
Doing Business As | DYERSBURG SKIN CLINIC |
Entity Type | Organization |
Authorized Contact | DENISE ANN HORNER Office Manager 731-286-4300 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN DO0000000839) |
Additional Taxonomies | 208D00000X General Practice (Licence: TN DO0000000839) |
207K00000X Allergy & Immunology (Licence: TN DO0000000839) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2015-09-10 |