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Contact Information

REGINALD P DICKERSON, MD
300 STEAM PLANT RD
SUITE 300
GALLATIN, TN37066-3032
 Phone: 615-451-9200
 Fax: 615-989-4217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for REGINALD P DICKERSON · (Male)

NPI # 1942290333
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 10/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 43777
  • TN Medicaid 1507710
  • TN Other 6011931 BCBS
  • TN Other P00702357 RR MEDICARE
Hospital affiliation(s)
  • SUMNER REGIONAL MEDICAL CENTER - (Acute Care)
    555 HARTSVILLE PIKE
    GALLATIN, TN 37066
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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