Organization
DICKERSON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTIS ADAM DICKERSON D.C. (OWNER)
(256) 383-1468
Entity
Organization
Contact information
Practice address
410 N NASHVILLE AVE, SHEFFIELD, AL 35660-2938
(256) 383-1468
(256) 383-2132
Mailing address
410 N NASHVILLE AVE, SHEFFIELD, AL 35660-2938
(256) 383-1468
(256) 383-2132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1883
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51505689
BLUE CROSS BLUE SHIELD ALABAMA (UPIN)
AL
Enumeration date
06/05/2013
Last updated
06/05/2013
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