Individual
MR. DALE WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 ALCOA HWY, SUITE E-310, KNOXVILLE, TN 37920-2244
(865) 544-2800
(865) 544-6812
Mailing address
1940 ALCOA HWY, SUITE E-310, KNOXVILLE, TN 37920-2244
(865) 544-2800
(865) 544-6812
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25519
TN
207RI0011X
Interventional Cardiology Physician
Primary
25519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083393
—
TN
Enumeration date
08/03/2005
Last updated
11/14/2016
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