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Individual

DOUGLAS SCOTT DICKINSON

Active
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Individual

DOUGLAS SCOTT DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
00006490
AL
207RG0100X
Gastroenterology Physician
Primary
6490
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000017840
AL
01
2910016
UNITED HEALTHCARE PROVIDE
AL
01
51017840
BLUE CROSS PROVIDER NUMBE
AL
01
C792942
HEALTHSPRING PROVIDER NUM
AL
Enumeration date
05/17/2006
Last updated
06/29/2023
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