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Organization

DERMATOLOGY EAST ,P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUELLA G CHURCHWELL M.D (OWNER)
(901) 753-2794
Entity
Organization

Contact information

Practice address
DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV, GERMANTOWN, TN 38138
(901) 753-2794
(901) 753-8876
Mailing address
DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV, GERMANTOWN, TN 38138
(901) 753-2794
(901) 753-8876

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/08/2007
Last updated
05/08/2024
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