Adult & Pediatric Dermatology of Tullahoma PC
Adult & Pediatric Dermatology of Tullahoma PC provides Dermatology Physician services in Tullahoma, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 William Northern Blvd Ste CTullahoma, TN 37388 Not confirmed with CMS for 16 years — call before visiting
Phone: (931) 455-7400
Fax: (931) 455-6344
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence MD0000021099 (TN) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence MD0000021099 (TN) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence MD0000021099 (TN) |
Record details
| NPI number | 1881658243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ken Takegami — President · (931) 455-7400 |
| NPI enumerated | April 13, 2006 |
| Last updated in NPPES | December 3, 2009 |
| Mailing address | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 |
Other providers in Tullahoma
-
Dr. Isaac Gene Bryan, DO
1330 Cedar Ln Ste 700, Tullahoma, TN 37388-3276 · (931) 455-7400
-
Fast Pace Medical Clinic PLLC
600 N Jackson St, Tullahoma, TN 37388-3542 · (931) 253-1110
-
Mr. Ken T Takegami, MD
100 William Northern Blvd Ste C, Tullahoma, TN 37388 · (931) 455-7400
-
Tullahoma Dermatology PC
1330 Cedar Ln Ste 700, Tullahoma, TN 37388-3276 · (931) 455-7400