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General NPI Number Information
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NPI Number | 1679742423
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Entity Type | Organization
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Legal Business Name | AFFILIATED DERMATOLOGISTS OF GREEN HILLS PC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4301 HILLSBORO PIKE SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-3345
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Country | US
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Telephone | 615-383-6092
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Fax | 615-292-8424
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Provider Business Mailing Address
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Address Line | 4301 HILLSBORO PIKE STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-3314
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Country | US
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Telephone | 615-383-6092
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Fax | 615-292-8424
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Authorized Official
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Title or Position | OWNER/MD
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Name | CARLA RENEE' RETIEF
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Credential | MD
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Telephone | 615-383-6092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | MD34844
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License Number State | TN
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