Organization
SDM TENNESSEE PC
Active
Organization
SDM TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L BRYANT (CEO)
(980) 233-3200
Entity
Organization
Contact information
Practice address
7100 COMMERCE WAY STE 160, BRENTWOOD, TN 37027-2875
(615) 661-8818
Mailing address
3340 ROBINWOOD RD, GASTONIA, NC 28054-6689
(980) 233-3234
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
10/04/2023
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