Healthcare Provider Details

I. General information

NPI: 1699356154
Provider Name (Legal Business Name): MEGAN DICK-ALVAREZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN DICK

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557B DANNAHER DR STE 225
POWELL TN
37849-3568
US

IV. Provider business mailing address

7557B DANNAHER DR STE 225
POWELL TN
37849-3568
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-3450
  • Fax: 865-647-3468
Mailing address:
  • Phone: 865-647-3450
  • Fax: 865-647-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6369
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: