Dilworth, Lee Robert

Dilworth, Lee Robert is an individual health care provider with primary practice located at 1819 W Clinch Ave Suite 108, Knoxville TN 37916-2434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Dilworth, Lee Robert can be contacted via phone (865) 546-5111.

Contact Information

Primary practice address
1819 W Clinch Ave Suite 108 Knoxville TN 37916-2434
Phone: (865) 546-5111
Fax: (865) 541-4018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X MD0000016893 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD0000016893 Tennessee

Profile Details

NPI number 1043209844
LBN Legal business name Dilworth, Lee Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043209844 NPPES
South Carolina MEDICAID Q16895
South Carolina MEDICAID 3860111

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