Organization
EQUITY DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T ALLRED MD (DOCTOR/OWNER)
(615) 428-4063
Entity
Organization
Contact information
Practice address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
(270) 213-7777
(844) 444-1250
Mailing address
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104-3348
(270) 213-7777
(844) 444-1250
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/20/2024
Last updated
04/23/2025
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