Cumberland Skin Surgery and Dermatology

NPI #1922138247 in Lebanon, Tennessee

Provider Information

NPI Number: 1922138247
Entity Type: Organization
Organization Name: Cumberland Skin Surgery and Dermatology
Primary Specialty: Clinic/Center - Medical Specialty
Enumeration Date: Mar 6, 2007
Last Updated: May 27, 2009

Practice Location

Address: 1405 W BADDOUR PKWY
Address 2: SUITE 101
City: Lebanon
State: Tennessee
ZIP Code: 37087-2567
Phone: (615) 449-5255

Authorized Official

Name: JULIE COUNTESS, MD
Title: PRESIDENT
Phone: (615) 449-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X	Primary

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