Provider Demographics
NPI:1467705681
Name:DAHLIN, CASSIE LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:LEE
Last Name:DAHLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1949 GUNBARREL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3187
Mailing Address - Country:US
Mailing Address - Phone:423-495-4349
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:645 PAUL HUFF PKWY NW STE 105
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3150
Practice Address - Country:US
Practice Address - Phone:423-790-7750
Practice Address - Fax:423-790-7659
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN2234363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant