Individual
CONRAD L BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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) 587-1729
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41614
KY
207N00000X
Dermatology Physician
49149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529692
—
TN
05
—
30847400
—
WI
Enumeration date
12/13/2005
Last updated
01/02/2015
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