MEDICARE: CURCIO DERMATOLOGY, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	49776	TN
2	207ND0101X	MOHS-Micrographic Surgery Physician	49776	TN

General Provider Information

NPI Number	:	1295159242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURCIO DERMATOLOGY, PC

Provider Business Mailing Address
First Line	:	2125 BANDYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2968
Country	:	US
Telephone Number	:	615-679-9011
Fax Number	:	615-891-4753

Provider Business Practice Location Address
First Line	:	2125 BANDYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2968
Country	:	US
Telephone Number	:	615-679-9011
Fax Number	:	615-891-4753

Authorized Official
Title or Position	:	OWNER/MEDICAL DOCTOR
Name	:	NATALIE M CURCIO
Credential	:	MD
Telephone Number	:	615-679-9011

Provider Enumeration Date	:	02/11/2014
Last Update Date	:	09/02/2020

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