EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY is a medical specialty clinic center in Johnson City, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY NPI is 1356975106. The provider is registered as an organization entity type.
The provider's business location address is:
2898 BOONES CREEK RD STE 105
JOHNSON CITY, TN
ZIP 37615-976
Phone: (423) 262-0112
The provider's authorized official is Stuart S Leicht .
The authorized official title is Physician and has the following contact phone number (423) 262-0112.
The enumeration date for this NPI number is 3/2/2020 and was last updated on 7/15/2020.