Individual
GRACE LESLIE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 HOSPITAL DR STE 500, CARTHAGE, TN 37030-4020
(615) 735-0700
Mailing address
133 HOSPITAL DR STE 500, CARTHAGE, TN 37030-4020
(615) 735-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6173
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
02/13/2026
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