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NPI Code Detail

MEDICARE: DICKSON MEDICAL ASSOCIATES, PC

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
1207Q00000XFamily Medicine Physician
2261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851805188
Entity Type Code : Organization
Provider Name (Legal Business Name) : DICKSON MEDICAL ASSOCIATES, PC
Provider Business Mailing Address
First Line : 127 CRESTVIEW PARK DR STE 209
Second Line :
City : DICKSON
State : TN
Zip : 37055-2856
Country : US
Telephone Number : 615-446-5121
Fax Number : 615-446-1357
Provider Business Practice Location Address
First Line : 2004 HIGHWAY 47 N
Second Line :
City : WHITE BLUFF
State : TN
Zip : 37187-4100
Country : US
Telephone Number : 615-908-3680
Fax Number : 615-446-1357
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CHRISTIE STRONG
Credential :
Telephone Number : 615-446-1324
Provider Enumeration Date : 11/22/2017
Last Update Date : 06/13/2022

Similar Medicare Providers

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Practice Location Address:
2004 HWY 47 N
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37187-4100
Practice Phone: 615-797-3646
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1710177563 — MRS. CINDY MICHELLE NORMAN FNP
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1134866163 — JORDAN OSBORNE
Practice Location Address:
2004 HWY 47 NORTH
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Practice Fax:
1447033360 — MRS. AMY DOYLE SULLIVAN FNP
Practice Location Address:
2004 HIGHWAY 47 N
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Practice Fax: 615-908-3679
1679525182 — DR. RONALD D FLETCHER D.D.S.
Practice Location Address:
4100 BELLAIRE AVE
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1831138114 — DR. JOY M JOHNSON D.D.S.
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Directions to “DICKSON MEDICAL ASSOCIATES, PC ” Practice Location

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