Provider Demographics
NPI:1891419040
Name:DILLEY, CHARLEE M (CCMA, CPT)
Entity Type:Individual
Prefix:MRS
First Name:CHARLEE
Middle Name:M
Last Name:DILLEY
Suffix:
Gender:F
Credentials:CCMA, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 GARDENS DR APT 104
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-6402
Mailing Address - Country:US
Mailing Address - Phone:954-857-3246
Mailing Address - Fax:
Practice Address - Street 1:113 GARDENS DR APT 104
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-6402
Practice Address - Country:US
Practice Address - Phone:954-857-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy