Knoxville Dermatology Group PC

NPI #1689853806 in Knoxville, Tennessee

Provider Information

NPI Number
1689853806
Entity Type
Organization
Organization Name
Knoxville Dermatology Group PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 25, 2007
Last Updated
Oct 25, 2007

Practice Location

Address
200 FORT SANDERS WEST BLVD
Address 2
SUITE 102
ZIP Code
37922-3357
Phone
(865) 690-9467

Authorized Official

Name
DAVID L SHUPP, MD
Title
PRESIDENT
Phone
(865) 690-9467

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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