Individual
DR. DIMA YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8209
(423) 930-8337
(423) 926-1049
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 930-8337
(423) 926-1049
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD 46702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524621
—
TN
01
—
MD 46702
MEDICAL LICENSE
TN
Enumeration date
11/19/2007
Last updated
01/31/2024
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