| NPI | 1851919005 |
|---|---|
| Doing Business As | CENLA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LISA MARTINEZ Coordinator 615-424-5357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |