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Rivergate Dermatology
Specialist in Goodlettsville, Tennessee
NPI 1467648170

Rivergate Dermatology is a Specialist based in Goodlettsville, TN. Rivergate Dermatology practices in Goodlettsville, TN. The NPI Number for Rivergate Dermatology is 1467648170 and holds a License No. MDO17949 (Tennessee).

The current practice location address for Rivergate Dermatology is 201 Bluebird Dr, Goodlettsville, TN and can be reached out via phone at 615-859-7546 and via fax at 615-851-7760.

Location: 201 Bluebird Dr, Goodlettsville, TN, 37072-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467648170
Provider Name
Rivergate Dermatology
Credential
Provider Entity Type
Organization
Address
201 Bluebird Dr, Goodlettsville, TN, 37072-2301
Phone Number
615-859-7546
Fax Number
615-851-7760
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235116518 01 TN NPI #
3708943 01 TN MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
201 Bluebird Dr
City
Goodlettsville
State
Tennessee
Zip
37072-2301
Phone Number
615-859-7546
Fax Number
615-851-7760
person
Provider Business Mailing Address Details
Address
201 Bluebird Dr
City
Goodlettsville
State
Tennessee
Zip
37072-2301
Phone Number
615-859-7546
Fax Number
615-851-7760
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MDO17949 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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