Individual
DR. JUAN S DINKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 441-4510
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
DO1635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114072
—
TN
01
—
4096537
BLUE CROSS BLUE SHIELD TN
TN
01
—
P00203737
RAILROAD MEDICARE PIN
—
Enumeration date
05/23/2005
Last updated
02/02/2012
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