# DICKSON MEDICAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DICKSON MEDICAL ASSOCIATES, PC
- **Other names:** DMA-South
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972606218
- **Legal business name:** DICKSON MEDICAL ASSOCIATES, PC
- **Authorized official:** MRS. CHRISTIE STRONG (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (615) 441-4477

## Contact information

- **Practice address:** 758 HIGHWAY 46 S, DICKSON, TN 37055-2556
- **Practice address phone:** (615) 446-2708
- **Practice address fax:** (615) 446-1359
- **Mailing address:** 127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
- **Mailing address phone:** (615) 446-5121
- **Mailing address fax:** (615) 446-1357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 03/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3158185 | BCBS TN GROUP PIN | TN |
| 05 | — | 3721355 | — | TN |
| 01 | — | CH3856 | RAILROAD MEDICARE PIN | — |