Organization
DICKSON ORTHOPEDICS, P.A.
Active
Other names
Jonesboro Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY LYNN DAVIS (OFFICE MANAGER)
(870) 932-1820
Entity
Organization
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 972-6712
Mailing address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 972-6712
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MC0874
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129705002
—
AR
05
—
232042748
—
AR
01
—
CE8064
RAILROAD MEDICARE
AR
Enumeration date
02/22/2006
Last updated
09/01/2023
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