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NPI Code Detail

MEDICARE: MADELINE DILLMON DOROUGH PA-C

MEDICARE: MADELINE DILLMON DOROUGH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1326836610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE DILLMON DOROUGH PA-C
Provider Business Mailing Address
First Line : 335 24TH AVE N STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 335 24TH AVE N STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1516
Country : US
Telephone Number : 615-986-4366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2025
Last Update Date : 02/09/2026

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Directions to “ MADELINE DILLMON DOROUGH PA-C” Practice Location

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