Advanced Dermatology Of East Tennessee, P.C.
LBN: Advanced Dermatology Of East Tennessee, P.C.
Advanced Dermatology Of East Tennessee, P.C. is an health care organization with primary practice located at 615 Smithview Dr , Maryville TN 37803-6100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Advanced Dermatology Of East Tennessee, P.C. can be contacted via phone (865) 380-9300, or through Slawsky, Lewis David via phone (865) 380-9300.
Contact Information
Primary practice address
615 Smithview Dr
Maryville TN 37803-6100
Phone: (865) 380-9300
Fax: (865) 380-1558
Website:
Authorized official contact:
Name: Slawsky, Lewis David Doctor of Medicine (MD)
Phone: (865) 380-9300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD0000026250 | Tennessee |
Profile Details
| NPI number | 1033121157 |
|---|---|
| LBN Legal business name | Advanced Dermatology Of East Tennessee, P.C. |
| DBA Doing business as | |
| Authorized official | Slawsky, Lewis David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Aug 22nd, 2020 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033121157 | NPPES |
| Tennessee | MEDICAID | 3091975 | |
| Tennessee | Other | 3144148 | |
| Tennessee | Other | 4619423 |
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