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Contact Information

ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
151 LEDFORD MILL RD
TULLAHOMA, TN37388-2278
 Phone: 931-800-6400
 Fax: 931-800-6401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC

NPI Number 1295324366
LBN Legal business name ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
Authorized official LORIE BURTTS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2021
Last updated 06/01/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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