Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Primary Care |
261QP2300X |
| NPI # | 1770196453 |
| LBN Legal business name | DICKSON MEDICAL ASSOCIATES, PC |
| Authorized official | CHRISTIE STRONG - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/24/2020 |
| Last updated | 07/01/2021 - About 5 years ago |
| Identifiers | n/a |
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