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Organization
DICKENSON MEDICAL CLINIC PC
Active
Organization
DICKENSON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMON IBRAHIM (OWNER)
(276) 926-4601
Entity
Organization
Contact information
Practice address
5607 DICKENSON HIGHWAY, CLINTWOOD, VA 24228
(276) 926-4601
(276) 926-4602
Mailing address
PO BOX 2224, CLINTWOOD, VA 24228-2224
(276) 926-4601
(276) 926-4602
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2006
Last updated
03/31/2010
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