Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1285227470 |
| LBN Legal business name | DICKSON MEDICAL ASSOCIATES PC |
| Authorized official | CHRISTIE STRONG - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/18/2021 |
| Last updated | 11/30/2021 - About 5 years ago |
| Identifiers | n/a |
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