MEDICARE: DICKSON MEDICAL ASSOCIATES PC

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
1	207Q00000X	Family Medicine Physician		TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CH3856	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3158185	OTHER	TN	BCBS TN GROUP PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568464873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DICKSON MEDICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	127 CRESTVIEW PARK DR
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-2850
Country	:	US
Telephone Number	:	615-446-5121
Fax Number	:	615-446-1359

Provider Business Practice Location Address
First Line	:	113 HIGHWAY 70 E
Second Line	:
City	:	DICKSON
State	:	TN
Zip	:	37055-2080
Country	:	US
Telephone Number	:	615-446-5121
Fax Number	:	615-446-1359

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CHRISTIE STRONG
Credential	:
Telephone Number	:	615-441-4477

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/27/2024

Similar Medicare Providers

1407065675 — DR. ERIN T STEIDL MD
Practice Location Address:

111 HIGHWAY 70 E , SUITE H
DICKSON, TN
37055-2080

Practice Phone: 615-446-4400
Practice Fax: 615-446-4234

1861879744 — JENNA-LYN JOHNSON MD
Practice Location Address:

111 HIGHWAY 70 E STE G
DICKSON, TN
37055-2080

Practice Phone: 803-744-4900
Practice Fax: 803-744-4935

1093718272 — DR. DAVID J BLAZER MD
Practice Location Address:

113 HIGHWAY 70 E
DICKSON, TN
37055-2080

Practice Phone: 615-441-4450
Practice Fax: 615-446-1357

1558364794 — DR. DANIEL B DRINNEN MD
Practice Location Address:

113 HIGHWAY 70 E
DICKSON, TN
37055-2080

Practice Phone: 615-446-5121
Practice Fax: 615-446-1357

1487658951 — DR. MACK W GRIFFITH MD
Practice Location Address:

111 HIGHWAY 70 E
DICKSON, TN
37055-2080

Practice Phone: 615-326-2870
Practice Fax: 615-326-2841

1063407534 — MOHAMMAD A ALSOUB MD
Practice Location Address:

111 HIGHWAY 70 E STE 102
DICKSON, TN
37055-2080

Practice Phone: 615-375-1531
Practice Fax: 615-375-1526

Directions to “DICKSON MEDICAL ASSOCIATES PC ” Practice Location

Language	Start Address	Practice Location

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