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

Mullick Dermatology, PLLC

Organization Dermatology Physician · NPI 1154862217

Mullick Dermatology, PLLC is a Dermatology Physician in Germantown, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3036 Centre Oak Way
Germantown, TN 38138-6302
Phone: (901) 572-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9760 Lipsey Cv, Germantown, TN 38139-8076 — (901) 277-3534

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD49897 (TN)

Record details

NPI number1154862217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suparna Mullick — President · (901) 572-0005
NPI enumeratedMarch 9, 2017
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing addressPo Box 758, Paris, TN 38242-0758

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