Organization
EAST TENNESSEE DERMATOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PAUL UNKEFER M.D. (PRESIDENT)
(865) 233-7351
Entity
Organization
Contact information
Practice address
133 ASSOCIATES BLVD, ALCOA, TN 37701-1944
(865) 233-7351
(865) 233-7352
Mailing address
133 ASSOCIATES BLVD, ALCOA, TN 37701-1944
(865) 233-7351
(865) 233-7352
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000035046
TN
207ND0101X
MOHS-Micrographic Surgery Physician
MD0000035046
TN
207NS0135X
Procedural Dermatology Physician
MD0000035046
TN
Other
Enumeration date
07/10/2012
Last updated
08/10/2012
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