Individual provider · NPI-1

Michelle K Dilks, DO

Family Medicine · Greeneville, TN

NPI number1194925487
StatusActive
Last updated in NPPESFeb 1, 2017

Details

NPI
1194925487
Entity type
Individual (NPI-1)
Name
Michelle K Dilks
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2007
Last updated
Feb 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineDo0000002370TNYes
207Q00000X Family MedicineOS013484PA

Practice location

1406 Tusculum Blvd
Suite 1200a
Greeneville, TN 37745-4332

Phone 423-783-5520 · Fax 423-783-5521

Mailing address

1406 Tusculum Blvd
Suite 1200a
Greeneville, TN 37745-4332

Phone 423-783-5520 · Fax 423-783-5521

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