Organization
SKIN CANCER AND SURGERY CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT R MOODY M. D. (DERMATOLOGIST)
(615) 322-1221
Entity
Organization
Contact information
Practice address
1900 PATTERSON ST, SUITE 201, NASHVILLE, TN 37203-2119
(615) 322-1221
(615) 322-5401
Mailing address
1900 PATTERSON ST, SUITE 201, NASHVILLE, TN 37203-2119
(615) 322-1221
(615) 322-5401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37502
TN
Other
Enumeration date
07/24/2007
Last updated
10/07/2007
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