National Provider Identifier Database

GREGG A DICKERSON, MD – NPI #1699777854
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

GREGG A DICKERSON, MD
1514 E UNION ST
GREENVILLE, MS38703-3248
Phone: 662-332-6150
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GREGG A DICKERSON

NPI Number 1699777854
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 11/30/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: 47586
  • MS License #: 17812
  • MN Other: 896610 USA MANAGED CARE ORG
  • MS Other: 10781438 UNITEDHEALTHCARE CAQH
Hospital affiliation n/a

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.

Reviews for GREGG A DICKERSON, MD

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