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

Dermatolgy & Dermatologic Surgery PC

Organization Dermatology Physician · NPI 1427128511

Dermatolgy & Dermatologic Surgery PC is a Dermatology Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1021 W Oakland Dr Ste 102
Johnson City, TN 37604-0000
Phone: (423) 928-9014
Fax: (423) 928-3559
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD0000013019 (TN)

Record details

NPI number1427128511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Hudson — Dermatologist President · (423) 928-9014
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1021 W Oakland Ave, Suite 102, Johnson City, TN 37604-2191

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