Organization
ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE M BURTTS (OFFICE MANAGER)
(931) 800-6400
Entity
Organization
Contact information
Practice address
151 LEDFORD MILL RD, TULLAHOMA, TN 37388-2278
(931) 800-6400
(931) 800-6401
Mailing address
PO BOX 802, TULLAHOMA, TN 37388-0802
(931) 800-6400
(931) 800-6401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
06/01/2022
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