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Organization
TENNESSEE TELEDERM PLLC
Active
Organization
TENNESSEE TELEDERM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY SNYDER (CREDENTIALING MANAGER)
(480) 565-1132
Entity
Organization
Contact information
Practice address
3500 JOHN A MERRITT BLVD, NASHVILLE, TN 37209
(615) 513-1959
(615) 513-0498
Mailing address
73 WHITE BRIDGE PIKE STE 103, NASHVILLE, TN 37205-1444
(615) 513-1959
(615) 513-0498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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