East Tennessee Medical and Surgical Dermatology

NPI #1356975106 in Johnson City, Tennessee

Provider Information

NPI Number
1356975106
Entity Type
Organization
Organization Name
East Tennessee Medical and Surgical Dermatology
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Mar 2, 2020
Last Updated
Jul 15, 2020

Practice Location

Address
2898 BOONES CREEK RD STE 105
ZIP Code
37615-4976
Phone
(423) 262-0112

Authorized Official

Name
STUART S LEICHT
Title
PHYSICIAN
Phone
(423) 262-0112

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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