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

Cumberland Skin Surgery and Dermatology

Organization Medical Specialty Clinic/Center · NPI 1922138247

Cumberland Skin Surgery and Dermatology is a Medical Specialty Clinic/Center in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007

Practice location Address checks out

107 Glidepath Way
Lebanon, TN 37090-4133
Phone: (615) 449-5771
Fax: (615) 449-5740
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 41873 (TN)

Record details

NPI number1922138247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Countess — President · (615) 449-5255
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing addressPo Box 736579, Chicago, IL 60673-6579

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