Individual
JOHNATHON DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7662 NEW LIGHT RD, STARKVILLE, MS 39759-5640
(662) 694-2556
Mailing address
7662 NEW LIGHT RD, STARKVILLE, MS 39759-5640
(662) 694-2556
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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