Healthcare Provider Details

I. General information

NPI: 1851273601
Provider Name (Legal Business Name): A. G. DERMATOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7020 BERRY FARMS XING STE 100
FRANKLIN TN
37064-7003
US

IV. Provider business mailing address

7020 BERRY FARMS XING STE 100
FRANKLIN TN
37064-7003
US

V. Phone/Fax

Practice location:
  • Phone: 615-413-9475
  • Fax:
Mailing address:
  • Phone: 615-413-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA LAND
Title or Position: FOUNDER
Credential: MD
Phone: 615-413-9475