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Organization
CUMBERLAND SKIN SURGERY AND DERMATOLOGY
Active
Organization
CUMBERLAND SKIN SURGERY AND DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE COUNTESS MD (PRESIDENT)
(615) 449-5255
Entity
Organization
Contact information
Practice address
107 GLIDEPATH WAY, LEBANON, TN 37090-4133
(615) 449-5771
(615) 449-5740
Mailing address
PO BOX 736579, CHICAGO, IL 60673-6579
(615) 449-5771
(615) 449-5740
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
41873
TN
Other
Enumeration date
03/06/2007
Last updated
08/05/2026
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