# PULMONARY MEDICINE OF DICKSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICAL GROUP - DICKSON, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972608537
- **Legal business name:** MEDICAL GROUP - DICKSON, INC.
- **Authorized official:** CHUCK LOCKE (VICE PRESIDENT)
- **Authorized official phone:** (615) 446-1260

## Contact information

- **Practice address:** 111 HIGHWAY 70 E, 3RD FLOOR SUITE A, DICKSON, TN 37055-2080
- **Practice address phone:** (615) 446-1260
- **Practice address fax:** (615) 446-1265
- **Mailing address:** 111 HIGHWAY 70 E, 3RD FLOOR SUITE A, DICKSON, TN 37055-2080
- **Mailing address phone:** (615) 446-1260
- **Mailing address fax:** (615) 446-1265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/28/2007