Individual
DR. OTIS ADAM DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
—
51505689DIC
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/28/2006
Last updated
07/09/2007
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