Individual
MILTON LOUIS DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 MILLINGTON RD, MEMPHIS, TN 38127-5216
(901) 353-1353
(901) 353-6412
Mailing address
3350 MILLINGTON RD, MEMPHIS, TN 38127-5216
(901) 353-1353
(901) 353-6412
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
045131076
TN
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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