Individual
HAZEL DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1504 SPRING HILL AVE, MOBILE, AL 36604-3207
(251) 219-3979
Mailing address
4342 DELHI ST, EIGHT MILE, AL 36613-2906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-060330
AL
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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