Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY DILLAHA, MD
Active Sole ProprietorLARRY DILLAHA, MD is a General Practice healthcare provider located in MOUNT JULIET, Tennessee. NPI 1760769400 is currently active in the NPPES registry. Verify at CMS.
General Practice · MOUNT JULIET, TN
Registration Details
- NPI Number
- 1760769400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2011 (14.740568085371 yrs)
- Last Updated
- Nov 9, 2011
- License
-
MD24875 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2046 BRECKENRIDGE DRMOUNT JULIET, TN, 371226305Browse TN providers · Browse ZIP 37122
- Phone
- 6157670074
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in MOUNT JULIET, TN
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM SAMUEL WISEMAN II | M.D. | 1235296104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.