Highlands Dermatology And Surgical Associates

NPI 1093151045 - Specialist - 174400000X

NPI Details
NPI 1093151045
Enumeration Date 05/17/2013
Last Updated 05/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RICHARD S RICHARD
Position OWNER
Phone (931) 520-1414
Fax (931) 520-1246
Practice Location
112 N WALNUT AVE
COOKEVILLE TN, 38501-2554, US
Phone (931) 520-1414
Fax (931) 520-1246
Business Location
PO BOX 1210
COOKEVILLE TN, 38503-1210, US
Phone (931) 520-1414
Fax (931) 520-1246
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number 18375
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According to our database, Highlands Dermatology And Surgical Associates NPI is 1093151045, taxonomy code is 174400000X and license number is 18375, license state is located at Tennessee. Highlands Dermatology And Surgical Associates physically located at 112 N Walnut Ave, Cookeville TN, 38501-2554. NPI Number 1033115704 has the healthcare provider type.

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1093151045 NPI number is provided on an as is basis without warranty of any kind. 1093151045 is maintained by the National Plan & Provider Enumeration System. The contents of Highlands Dermatology And Surgical Associates are for informational purposes only.