Organization
SOUTHEASTERN DERMATOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BRENT DOPPELT D.O. (OWNER)
(865) 632-5975
Entity
Organization
Contact information
Practice address
101 E BLOUNT AVE, SUITE 820, KNOXVILLE, TN 37920-1632
(865) 632-5975
(865) 632-5052
Mailing address
101 E BLOUNT AVE, SUITE 820, KNOXVILLE, TN 37920-1601
(865) 632-5975
(865) 632-5052
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO1589
TN
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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