# DHP OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578826988
- **Authorized official:** KAREN MELISSA TIBEDO (NATIONAL DIRECTOR, ENROLLMENT OPERA)
- **Authorized official phone:** (865) 985-7130

## Contact information

- **Practice address:** 1230 BAXTER ST, ATHENS, GA 30606-3712
- **Practice address phone:** (999) 999-9999
- **Mailing address:** 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
- **Mailing address phone:** (865) 693-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 10/07/2025