Dishmon, Dwight Anthony

Dishmon, Dwight Anthony is an individual health care provider with primary practice located at 1251 Wesley Dr Suite 153, Memphis TN 38116-6442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dishmon, Dwight Anthony can be contacted via phone (901) 763-0200.

Contact Information

Primary practice address
1251 Wesley Dr Suite 153 Memphis TN 38116-6442
Phone: (901) 763-0200
Fax: (901) 761-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39198 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 39198 Tennessee

Profile Details

NPI number 1316904048
LBN Legal business name Dishmon, Dwight Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 26th, 2021 - 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 1316904048 NPPES
Tennessee MEDICAID 3325860
Tennessee MEDICAID 155106001
Tennessee Other 4354768
Tennessee Other P01301155
Tennessee MEDICAID 07222339

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