Organization
LAKEWAY DERMATOLOGY ASSOCIATES PC
Active
Organization
LAKEWAY DERMATOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD L BRIMHALL MD (VP)
(859) 276-1511
Entity
Organization
Contact information
Practice address
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 587-1729
Mailing address
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814-3388
(423) 587-4600
(423) 558-0010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
02/26/2024
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