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Individual

DR. JUAN S DINKINS

Active
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Individual

DR. JUAN S DINKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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