Individual
MICHELLE K DILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1406 TUSCULUM BLVD, SUITE 1200A, GREENEVILLE, TN 37745-4332
(423) 783-5520
(423) 783-5521
Mailing address
1406 TUSCULUM BLVD, SUITE 1200A, GREENEVILLE, TN 37745-4332
(423) 783-5520
(423) 783-5521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000002370
TN
207Q00000X
Family Medicine Physician
OS013484
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009564
—
TN
Enumeration date
07/24/2007
Last updated
02/01/2017
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