Individual
TIMOTHY D DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 386-2399
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2300
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010077840
AMERIGROUP - TNCARE ONLY
TN
01
—
1100618400
USA PPO/GEHA
TN
01
—
12268283
MULTIPLAN/PHCS
TN
01
—
139484
COVENTRY
TN
01
—
2099225
UNITED HEALTH CARE
TN
05
—
3895256
—
TN
01
—
4087632
BLUE CROSS OF TN
TN
01
—
515532
USA MANAGED CARE
TN
05
—
64094659
—
KY
01
—
9140448
CIGNA POS, PPO
TN
01
—
P00133883
MEDICARE RR
TN
01
—
TN0116
AMERICHOICE TNCARE ONLY
TN
Enumeration date
05/31/2006
Last updated
06/03/2015
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