Dermal Solutions

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DERMAL SOLUTIONS

Practice address

107 S Central Ave
Centerville, TN 37033-1646

Phone

(931) 729-0012

Fax

(931) 729-0012

NPI assigned

Dec 27, 2010

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan L Griffin

Title

Owner

Phone

(931) 729-0012

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1609170174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S CENTRAL AVE",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331646",
            "telephone_number": "931-729-0012",
            "fax_number": "931-729-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S CENTRAL AVE",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331646",
            "telephone_number": "931-729-0012",
            "fax_number": "931-729-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-729-0012"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Hickman Superintendent of Schools
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• Monica Leah Crumby
• Yvonne Dantzler-Randolph, NP
• Dawn Marie Deespino, RN
• Dialysis Associates, LLC (Fresenius Medical Care Centerville)
• Marek Durakiewicz, MD
• Gina Michelle Elkins, BSW
• Regina J Elkins, O.D.
• Fast Pace Medical Clinic PLLC

• Primary Care Clinic/Center in Centerville, TN
• Providers in Centerville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.