NPI 1679761274
Knoxville Dermatology Group PC
Practice location
- Address
- 1928 Alcoa Hwy Suite 209, Knoxville, TN 37920-1502
- Phone
- (865) 546-7521
- Fax
- (865) 342-5857
- Mailing address
- 200 Fort Sanders West Blvd Suite 102, Knoxville, TN 37922-3357
Authorised official
- Name
- David L Shupp
- Title
- President
- Phone
- (865) 690-9467
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1679761274
- Entity type
- Organization
- NPI issued
- 9 Oct 2007
- Record last updated
- 9 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.