Brentwood Skin Clinic Pllc

LBN: Brentwood Skin Clinic Pllc
Brentwood Skin Clinic Pllc is an health care organization with primary practice located at 5505 Edmondson Pike Suite 10, Nashville TN 37211-5872. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brentwood Skin Clinic Pllc can be contacted via phone (615) 810-8730, or through Mitchell, Charles Austin via phone (615) 810-8730.

Contact Information

Primary practice address
5505 Edmondson Pike Suite 10 Nashville TN 37211-5872
Phone: (615) 810-8730
Fax: (615) 810-8731
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Charles Austin Doctor of Medicine (MD)
Phone: (615) 810-8730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37546 Tennessee

Profile Details

NPI number 1043647142
LBN Legal business name Brentwood Skin Clinic Pllc
DBA Doing business as
Authorized official Mitchell, Charles Austin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2013
Last updated Nov 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043647142 NPPES
Tennessee MEDICAID PENDING

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