Provider Demographics
NPI:1205805272
Name:CHILES, MELISSA COLE (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:COLE
Last Name:CHILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 FOX RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3453
Mailing Address - Country:US
Mailing Address - Phone:865-719-6364
Mailing Address - Fax:
Practice Address - Street 1:139 FOX RD
Practice Address - Street 2:SUITE 204
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3453
Practice Address - Country:US
Practice Address - Phone:865-719-6364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD39233207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology