OrganizationActive
Adult & Pediatric Dermatology Skin Solutions PLLC
NPI 1295324366 · Medical Physician Assistant · Tullahoma, TN
Provider details
- NPI number
- 1295324366
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lorie Burtts, Office Manager(931) 800-6400
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
151 Ledford Mill Rd
Tullahoma, TN 37388-2278
Phone: (931) 800-6400
Fax: (931) 800-6401
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 802
Tullahoma, TN 37388-0802
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.