Organization · Type 2 NPI
East Tennessee Medical and Surgical Dermatology
Medical Specialty Clinic/Center · Johnson City, TN
Practice location
2898 Boones Creek Rd Ste 105
Johnson City, TN 37615-4976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: 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).
Another provider at this address
Other medical specialty clinic/center providers in Johnson City
About NPI 1356975106
East Tennessee Medical and Surgical Dermatology's National Provider Identifier is 1356975106, issued on Mar 2, 2020. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Johnson City, TN. The record was last updated on Sep 14, 2026.