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Organization

MEMPHIS DERMATOLOGY CLINIC PA

Active
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Organization

MEMPHIS DERMATOLOGY CLINIC PA

Active
Other names
Professional Association
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYNN HARRIS (ADMINISTRATIVE ASSISTANT)
(901) 726-6655
Entity
Organization

Contact information

Practice address
1455 UNION AVE, MEMPHIS, TN 38104-6727
(901) 726-6655
(901) 726-9056
Mailing address
1455 UNION AVE, MEMPHIS, TN 38104-6727
(901) 726-6655
(901) 726-9056

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/14/2006
Last updated
04/15/2024
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