East Louisville Dermatology, Psc
NPI #1255468872 in Louisville, Kentucky
Provider Information
- NPI Number
- 1255468872
- Entity Type
- Organization
- Organization Name
- East Louisville Dermatology, Psc
- Primary Specialty
- Dermatology
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4912 US HIGHWAY 42
- Address 2
- SUITE 208
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40222-6349
- Phone
- (502) 426-9565
Authorized Official
- Name
- DR. TERRIE S WILLIAMS, M.D.
- Title
- PRESIDENT
- Phone
- (502) 426-9565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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