East Tennessee Medical and Surgical Dermatology
East Tennessee Medical and Surgical Dermatology is a Medical Specialty Clinic/Center in Johnson City, Tennessee. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2898 Boones Creek Rd Ste 105Johnson City, TN 37615-4976
Phone: (423) 262-0112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1356975106 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stuart Leicht — Physician · (423) 262-0112 |
| NPI enumerated | March 2, 2020 |
| Last updated in NPPES | July 15, 2020 |
| Certification date | July 15, 2020 |
| Mailing address | 2898 Boones Creek Rd Ste 105, Johnson City, TN 37615-4976 |
Other providers in Johnson City
-
Ray W. Mettetal Jr , MD Inc
329 Wesley St Ste 4, Johnson City, TN 37601-1721 · (423) 282-5411
-
Mallory Welter Scelfo, FNP-C
206 Wanderlust Ct, Johnson City, TN 37604-3248 · (228) 860-7831