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Loudon Dermatology, P.c.
Specialist in Lenoir City, Tennessee
NPI 1760537542

Loudon Dermatology, P.c. is a Specialist based in Lenoir City, TN. Loudon Dermatology, P.c. practices in Lenoir City, TN. The NPI Number for Loudon Dermatology, P.c. is 1760537542 and holds a License No. 34515 (Tennessee).

The current practice location address for Loudon Dermatology, P.c. is 576 Fort Loudoun Medical Center Dr, Lenoir City, TN and can be reached out via phone at 865-986-5526 and via fax at 865-986-5493.

Location: 576 Fort Loudoun Medical Center Dr, Lenoir City, TN, 37772-5676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760537542
Provider Name
Loudon Dermatology, P.c.
Credential
Provider Entity Type
Organization
Address
576 Fort Loudoun Medical Center Dr, Lenoir City, TN, 37772-5676
Phone Number
865-986-5526
Fax Number
865-986-5493
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE3080 01 TN RRMEDICARE
P00284371 01 TN RRMEDICARE
institution
Provider Business Practice Location Address Details
Address
576 Fort Loudoun Medical Center Dr
City
Lenoir City
State
Tennessee
Zip
37772-5676
Phone Number
865-986-5526
Fax Number
865-986-5493
person
Provider Business Mailing Address Details
Address
576 Fort Loudoun Medical Center Dr
City
Lenoir City
State
Tennessee
Zip
37772-5676
Phone Number
865-986-5526
Fax Number
865-986-5493
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34515 (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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