Organization
HIGHLANDS DERMATOLOGY AND SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S HALL M.D. (OWNER)
(931) 520-1414
Entity
Organization
Contact information
Practice address
112 N WALNUT AVE, COOKEVILLE, TN 38501-2554
(931) 520-1414
(931) 520-1246
Mailing address
PO BOX 1210, COOKEVILLE, TN 38503-1210
(931) 520-1414
(931) 520-1246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18375
TN
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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