Provider Demographics
NPI:1962908871
Name:LIMONE, BRITTANYA
Entity type:Individual
Prefix:
First Name:BRITTANYA
Middle Name:
Last Name:LIMONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5243 LITTLE DEBBIE PKWY STE 111
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-4515
Mailing Address - Country:US
Mailing Address - Phone:423-206-2777
Mailing Address - Fax:
Practice Address - Street 1:5243 LITTLE DEBBIE PKWY STE 111
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-4515
Practice Address - Country:US
Practice Address - Phone:423-206-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA165620207N00000X
TN65932207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology