Organization
DERMATOLOGY CLINIC OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATRICK TEER M.D. (PRESIDENT)
(731) 424-1001
Entity
Organization
Contact information
Practice address
1320 UNION UNIVERSITY DR, JACKSON, TN 38305-3780
(731) 422-7999
(731) 422-4937
Mailing address
1320 UNION UNIVERSITY DR, JACKSON, TN 38305-3780
(731) 422-7999
(731) 422-4937
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521783
—
TN
Enumeration date
07/12/2010
Last updated
07/16/2014
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