Organization
DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAFNIS C. CARRANZA MD (OWNER)
(731) 784-4300
Entity
Organization
Contact information
Practice address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
Mailing address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
43760
TN
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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