Fairhurst Dermatology
NPI #1114010741 in Goodlettsville, Tennessee
Provider Information
- NPI Number
- 1114010741
- Entity Type
- Organization
- Organization Name
- Fairhurst Dermatology
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Mar 19, 2013
Practice Location
- Address
- 3040 BUSINESS PARK CIR
- City
- Goodlettsville
- State
- Tennessee
- ZIP Code
- 37072-3594
- Phone
- (615) 870-1404
Authorized Official
- Name
- DR. MARK VICTOR FAIRHURST, MD
- Title
- PRESIDENT/OWNER
- Phone
- (615) 870-1404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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