Unknown Individual – Dermatology Physician, NPI 1972697654
Dermatology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
105, Maple Row Boulevard, Hendersonville, Sumner County, Tennessee, 37075, United States
HENDERSONVILLE, TN 370753853
Phone: (615) 266-3376
Fax: (484) 918-8506
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Physician Assistant | TN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | TN |
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