Individual
DYLAN PETER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4820 OLD KINGSTON PIKE, KNOXVILLE, TN 37919-6424
(865) 558-9862
(865) 584-3478
Mailing address
4820 OLD KINGSTON PIKE, KNOXVILLE, TN 37919-6424
(865) 558-9862
(865) 584-3478
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3399
TN
2085R0202X
Diagnostic Radiology Physician
77863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100538150
—
KY
05
—
Q036857
—
TN
Enumeration date
07/05/2012
Last updated
03/30/2026
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