Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calladerm LLC

Organization MOHS-Micrographic Surgery Physician · NPI 1316283252

Calladerm LLC is an MOHS-Micrographic Surgery Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8 Sheridan Sq Ste 110
Kingsport, TN 37660-7478
Phone: (423) 408-1504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence DO0000002262 (TN)

Record details

NPI number1316283252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jami Reaves — Physician · (423) 408-1504
NPI enumeratedDecember 21, 2012
Last updated in NPPESApril 17, 2013
Mailing address8 Sheridan Sq, Suite 110, Kingsport, TN 37660-7478

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