| Christopher P. Dill Md, Pllc | |
|
315 N Washington Ave Suite 165 Cookeville TN 38501-2603 | |
| (931) 526-1604 | |
| (931) 526-7378 |
| Full Name | Christopher P. Dill Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 N Washington Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Christopher Parish Dill (PRESIDENT) |
| Authorized Official Contact | 9012580595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher P. Dill Md, Pllc 315 N Washington Ave Suite 165 Cookeville TN 38501-2603 Ph: (931) 526-1604 | Christopher P. Dill Md, Pllc 315 N Washington Ave Suite 165 Cookeville TN 38501-2603 Ph: (931) 526-1604 |
| NPI Number | 1265975643 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
| Medicare PECOS PAC ID | 4385924158 |
|---|---|
| Medicare Enrollment ID | O20161213002315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265975643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD047216 (Tennessee) | Primary |
| Provider Name | Cheryl L Wathen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518238484 PECOS PAC ID: 4688839889 Enrollment ID: I20120712000543 |
| Provider Name | Christopher Parish Dill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386869956 PECOS PAC ID: 5991924706 Enrollment ID: I20161213002428 |
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