Organization · Type 2 NPI
Cumberland Skin Surgery and Dermatology
Medical Specialty Clinic/Center · Lebanon, TN
Practice location
107 Glidepath Way
Lebanon, TN 37090-4133
Fax (615) 449-5740
Mailing address
PO Box 736579
Chicago, IL 60673-6579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 41873 (TN) |
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).
9 other providers at this address
- Elite Sports Medicine and Orthopaedic Center, PLCSports Medicine (Orthopaedic Surgery) Physician Lebanon, TN NPI 1568905248
- Barbara Elayne Wolff, PACPhysician Assistant Lebanon, TN NPI 1023171576
- David Elliot Roffwarg, MDDermatology Physician Lebanon, TN NPI 1063736833
- Joey S. Price, MDMOHS-Micrographic Surgery Physician Lebanon, TN NPI 1124111257
- Julie M. Countess, MDMOHS-Micrographic Surgery Physician Lebanon, TN NPI 1720171796
- Karrie A. Burkhardt, P.A.-CPhysician Assistant Lebanon, TN NPI 1437422342
- Russell Eugene Gibson, MDPediatric Sleep Medicine Physician Lebanon, TN NPI 1568513075
- Scott Alexander Stout, PA-CPhysician Assistant Lebanon, TN NPI 1942385893
- Tammie Wampler, PA-CMedical Physician Assistant Lebanon, TN NPI 1740211788
Other medical specialty clinic/center providers in Lebanon
About NPI 1922138247
Cumberland Skin Surgery and Dermatology's National Provider Identifier is 1922138247, issued on Mar 6, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lebanon, TN. The record was last updated on Aug 5, 2026.