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Organization

DHP OF PENNSYLVANIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN MELISSA TIBEDO (NATIONAL DIRECTOR, ENROLLMENT OPS)
(865) 985-7130
Entity
Organization

Contact information

Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7095
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
07/12/2012
Last updated
11/19/2025
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