Organization
LEVY DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LOUIS LEVY M.D. (PRESIDENT/CEO)
(901) 682-0430
Entity
Organization
Contact information
Practice address
1920 KIRBY PKWY STE 204, GERMANTOWN, TN 38138-3697
(901) 624-3333
(901) 624-1203
Mailing address
1920 KIRBY PKWY STE 204, GERMANTOWN, TN 38138-3697
(901) 624-3333
(901) 624-1203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000043501
TN
207ND0101X
MOHS-Micrographic Surgery Physician
MD0000043501
TN
207NS0135X
Procedural Dermatology Physician
MD0000043501
TN
Other
Enumeration date
03/17/2009
Last updated
01/16/2013
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