Individual
BRENT E PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 21ST AVE S, NASHVILLE, TN 37212-4908
(615) 327-9797
(615) 613-0329
Mailing address
2301 21ST AVE S, NASHVILLE, TN 37212-4908
(615) 327-9797
(615) 613-0329
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
39587
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
39587
TN
Other
Enumeration date
12/22/2005
Last updated
10/26/2020
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