Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1699878934 |
| LBN Legal business name | DICKSON MEDICAL ASSOCIATE, PC |
| Authorized official | CHRISTIE STRONG - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/05/2006 |
| Last updated | 05/01/2025 - More than a year ago |
| Identifiers | n/a |
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