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Larry Dillaha, MD
General Practice Physician in Mount Juliet, Tennessee
NPI 1760769400

Larry Dillaha is a General Practice Physician based in Mount Juliet, TN. Larry Dillaha practices in Mount Juliet, TN and has the professional credentials of MD. The NPI Number for Larry Dillaha is 1760769400 and holds a License No. MD24875 (Tennessee).

The current practice location address for Larry Dillaha is 2046 Breckenridge Dr, Mount Juliet, TN and can be reached out via phone at 615-767-0074.

Location: 2046 Breckenridge Dr, Mount Juliet, TN, 37122-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760769400
Provider Name
Larry Dillaha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2046 Breckenridge Dr, Mount Juliet, TN, 37122-6305
Phone Number
615-767-0074
Fax Number
Provider Enumeration Date
11/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2046 Breckenridge Dr
City
Mount Juliet
State
Tennessee
Zip
37122-6305
Phone Number
615-767-0074
Fax Number
person
Provider Business Mailing Address Details
Address
2046 Breckenridge Dr
City
Mount Juliet
State
Tennessee
Zip
37122-6305
Phone Number
615-767-0074
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD24875 (Tennessee)
Definition
Definition to come...
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