Organization
KNOXVILLE DERMATOLOGY GROUP PC
Active
Organization
KNOXVILLE DERMATOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L SHUPP MD (PRESIDENT)
(865) 690-9467
Entity
Organization
Contact information
Practice address
200 FORT SANDERS WEST BLVD, SUITE 102, KNOXVILLE, TN 37922-3357
(865) 690-9467
(865) 342-5857
Mailing address
200 FORT SANDERS WEST BLVD, SUITE 102, KNOXVILLE, TN 37922-3357
(865) 690-9467
(865) 342-5857
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up