Tullahoma Dermatology PC

NPI #1154948669 in Tullahoma, Tennessee

Provider Information

NPI Number
1154948669
Entity Type
Organization
Organization Name
Tullahoma Dermatology PC
Primary Specialty
Dermatology
Enumeration Date
Jun 30, 2020
Last Updated
Jun 30, 2020

Practice Location

Address
1330 CEDAR LN STE 700
ZIP Code
37388-3276
Phone
(931) 455-7400

Authorized Official

Name
ISAAC BRYAN
Title
PRESIDENT
Phone
(509) 426-4985

Specialties & Taxonomy Codes

Specialty
Dermatology

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Individual Providers

Provider Name
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Organizations

Provider Name
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