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

Tullahoma Dermatology PC

Organization Dermatology Physician · NPI 1154948669

Tullahoma Dermatology PC is a Dermatology Physician in Tullahoma, Tennessee. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1330 Cedar Ln Ste 700
Tullahoma, TN 37388-3276
Phone: (931) 455-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1154948669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isaac Bryan — President · (509) 426-4985
NPI enumeratedJune 30, 2020
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address1330 Cedar Ln Ste 700, Tullahoma, TN 37388-3276

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