Organization Name: | BRENTWOOD DERMATOLOGY |
NPI Number: | 1841409323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM R MCDANIEL (OWNER PHYSICIAN) |
Mailing Address: | 343 Franklin Rd Suite 202 Brentwood |
State: | TN US |
Postal Code: | 370275213 |
Phone Number: | 6153773448 |
Fax Number: | 6153703449 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD0000014028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |