Organization
CHANGE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CAMBIO (MANAGER)
(239) 233-0562
Entity
Organization
Contact information
Practice address
7065 MOORES LN STE 100&110, BRENTWOOD, TN 37027-7998
(239) 233-0562
Mailing address
7065 MOORES LN STE 100&110, BRENTWOOD, TN 37027-7998
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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