Individual
LARRY DILLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2046 BRECKENRIDGE DR, MOUNT JULIET, TN 37122-6305
(615) 767-0074
Mailing address
2046 BRECKENRIDGE DR, MOUNT JULIET, TN 37122-6305
(615) 767-0074
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD24875
TN
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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