Organization
UDERM, PLLC
Active
Organization
UDERM, PLLC
Active
Other names
Uderm - Dermatology & Mohs Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ALLEN MILLER MD (PHYSICIAN/OWNER)
(423) 206-2777
Entity
Organization
Contact information
Practice address
5243 LITTLE DEBBIE PKWY STE 111, OOLTEWAH, TN 37363-4515
(423) 206-2777
(423) 206-2772
Mailing address
5243 LITTLE DEBBIE PKWY STE 111, OOLTEWAH, TN 37363-4515
(423) 206-2777
(423) 206-2772
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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