NPI | 1891050407 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PAUL UNKEFER President 865-233-7351 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TN MD0000035046) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD0000035046) |
207NS0135X Dermatology, Procedural Dermatology (Licence: TN MD0000035046) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-08-10 |