Organization
LOUDON DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMESE SURANYI MD (OWNER)
(865) 986-5526
Entity
Organization
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR, SUITE 108, LENOIR CITY, TN 37772-5676
(865) 986-5526
(865) 986-5493
Mailing address
576 FORT LOUDOUN MEDICAL CENTER DR, SUITE 108, LENOIR CITY, TN 37772-5676
(865) 986-5526
(865) 986-5493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34515
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3080
RRMEDICARE
TN
01
—
P00284371
RRMEDICARE
TN
Enumeration date
01/24/2007
Last updated
03/12/2008
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