Individual
JAMES BRICE DICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 TAYLOR ST, SUITE 4G, COLUMBIA, SC 29201-2923
(803) 799-9919
(803) 799-0788
Mailing address
1333 TAYLOR ST, SUITE 4G, COLUMBIA, SC 29201-2923
(803) 799-9919
(803) 799-0788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13271
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132715
—
SC
Enumeration date
04/26/2006
Last updated
07/08/2007
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