Individual
DWIGHT ANTHONY DISHMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1251 WESLEY DR, SUITE 153, MEMPHIS, TN 38116-6442
(901) 763-0200
(901) 761-4002
Mailing address
1975 NONCONNAH BLVD, MEMPHIS, TN 38132-2108
(901) 596-4096
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us