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

Dermatology Realm and Family Practice

Organization Family Medicine Physician · NPI 1457751489

Dermatology Realm and Family Practice is a Family Medicine Physician in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014

Practice location Address checks out

2120 Merchants Row Ste 2
Germantown, TN 38138-0806
Phone: (901) 362-7170
Fax: (901) 365-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD36947 (TN)

Record details

NPI number1457751489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Baker — Member · (901) 362-7170
NPI enumeratedAugust 27, 2014
Last updated in NPPESAugust 27, 2014
Mailing address2120 Merchants Row Ste 2, Germantown, TN 38138-0806

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