Healthcare Provider Details

I. General information

NPI: 1528330644
Provider Name (Legal Business Name): DERMATOPATHOLOGY PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2012
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 FOX RD STE 204
KNOXVILLE TN
37922-3472
US

IV. Provider business mailing address

DEPT 888136
KNOXVILLE TN
37995-0001
US

V. Phone/Fax

Practice location:
  • Phone: 865-474-8866
  • Fax: 865-560-2784
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEIL M. COLEMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-474-8866