NPI 1720171796

Julie M Countess, MD

Practitioner MOHS-Micrographic Surgery Physician Lebanon, TN

Practice location

Address: 107 Glidepath Way, Lebanon, TN 37090-4133
Phone: (615) 449-5771
Fax: (615) 449-5740
Mailing address: PO Box 1172, Lebanon, TN 37088-1172

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 41873 (TN)

Other Dermatology providers in Tennessee →

Registry record

NPI: 1720171796
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
Record last updated: 29 Dec 2023

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.