Brentwood Skin Clinic Pllc

NPI 1043647142 - Dermatology - 207N00000X

NPI Details
NPI 1043647142
Enumeration Date 10/03/2013
Last Updated 09/15/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLES AUSTIN CHARLES
Position PRESIDENT
Phone (615) 810-8730
Fax (615) 810-8731
Practice Location
5505 EDMONDSON PIKE
SUITE 10
NASHVILLE TN, 37211-5872, US
Phone (615) 810-8730
Fax (615) 810-8731
Business Location
5505 EDMONDSON PIKE
SUITE 10
NASHVILLE TN, 37211-5872, US
Phone (615) 810-8730
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Tennessee
License Number 37546
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According to our database, Brentwood Skin Clinic Pllc NPI is 1043647142, taxonomy code is 207N00000X and license number is 37546, license state is located at Tennessee. Brentwood Skin Clinic Pllc physically located at 5505 Edmondson Pike, Nashville TN, 37211-5872. NPI Number 1033115704 has the healthcare provider type.

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1043647142 NPI number is provided on an as is basis without warranty of any kind. 1043647142 is maintained by the National Plan & Provider Enumeration System. The contents of Brentwood Skin Clinic Pllc are for informational purposes only.