Organization
KNOXVILLE INSTITUTE OF DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZEBETH ANDERSON MD (PRESIDENT)
(865) 450-9361
Entity
Organization
Contact information
Practice address
6516 KINGSTON PIKE, KNOXVILLE, TN 37919-4825
(865) 450-9361
(865) 450-9362
Mailing address
DEPT 888213, KNOXVILLE, TN 37995-8213
(865) 670-6199
(865) 670-6158
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370155
—
TN
Enumeration date
08/06/2007
Last updated
07/21/2022
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