East Tennessee Medical And Surgical Dermatology

LBN: East Tennessee Medical And Surgical Dermatology
East Tennessee Medical And Surgical Dermatology is an health care organization with primary practice located at 2898 Boones Creek Rd Ste 105 , Johnson City TN 37615-4976. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. East Tennessee Medical And Surgical Dermatology can be contacted via phone (423) 262-0112, or through Leicht, Stuart S via phone (423) 262-0112.

Contact Information

Primary practice address
2898 Boones Creek Rd Ste 105 Johnson City TN 37615-4976
Phone: (423) 262-0112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leicht, Stuart S
Phone: (423) 262-0112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1356975106
LBN Legal business name East Tennessee Medical And Surgical Dermatology
DBA Doing business as
Authorized official Leicht, Stuart S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2020
Last updated Jul 15th, 2020 - about 4 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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