Individual
TIMOTHY D DIBBLE
Active
Individual
TIMOTHY D DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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