Provider Demographics
NPI:1457042178
Name:JUSTSKIN
Entity Type:Organization
Organization Name:JUSTSKIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOSEF
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:615-609-3417
Mailing Address - Street 1:4071 CANE RIDGE PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2971
Mailing Address - Country:US
Mailing Address - Phone:615-669-2393
Mailing Address - Fax:
Practice Address - Street 1:4071 CANE RIDGE PKWY STE 208
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2971
Practice Address - Country:US
Practice Address - Phone:615-669-2393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty