NPI 1962644013

Virginia Anne Koubek, MD

Practitioner Dermatology Physician Jackson, TN

Practice location

Address: 87 Murray Guard Dr STE B, Jackson, TN 38305-3775
Phone: (731) 664-1375
Fax: (731) 660-8319
Mailing address: PO Box 400, Jackson, TN 38302-0400

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 51924 (TN)

Other Dermatology providers in Tennessee →

Registry record

NPI: 1962644013
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2009
Record last updated: 8 Dec 2014

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.