Organization
INNOVA DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET WING-YAN MANN MD (AUTHORIZED OFFICIAL)
(615) 266-3376
Entity
Organization
Contact information
Practice address
105 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 266-3376
(484) 918-8506
Mailing address
105 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075-3853
(615) 266-3376
(484) 918-8506
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
03/27/2020
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