Healthcare Provider Details

I. General information

NPI: 1972606218
Provider Name (Legal Business Name): DICKSON MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

758 HIGHWAY 46 S
DICKSON TN
37055-2556
US

IV. Provider business mailing address

127 CRESTVIEW PARK DR
DICKSON TN
37055-2855
US

V. Phone/Fax

Practice location:
  • Phone: 615-446-2708
  • Fax: 615-446-1359
Mailing address:
  • Phone: 615-446-5121
  • Fax: 615-446-1357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTIE STRONG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-441-4477