Skin Cancer and Cosmetic Dermatology Center PC

NPI #1063715423 in Kimball, Tennessee

Provider Information

NPI Number: 1063715423
Entity Type: Organization
Organization Name: Skin Cancer and Cosmetic Dermatology Center PC
Subpart: Yes (part of a larger organization)
Parent Organization: SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC
Primary Specialty: Dermatology
Enumeration Date: Dec 7, 2010
Last Updated: Jan 17, 2011

Practice Location

Address: 400 DIXIE LEE CENTER RD
Address 2: SUITE C
City: Kimball
State: Tennessee
ZIP Code: 37347-5672
Phone: (706) 277-7311

Authorized Official

Name: KELLEY FINNELL
Title: PRACTICE MANAGER
Phone: (706) 277-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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