Individual
DWIGHT ANTHONY DISHMON
Active
Individual
DWIGHT ANTHONY DISHMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39198
TN
207RI0011X
Interventional Cardiology Physician
Primary
39198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07222339
—
MS
05
—
155106001
—
AR
05
—
3325860
—
TN
01
—
4354768
BCBS
TN
01
—
P01301155
RAILROAD MEDICARE
TN
Enumeration date
04/27/2006
Last updated
08/26/2021
Update your record
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