Individual
MR. RICHARD WARREN DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 MEMORIAL DRIVE, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-1247
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO 1355
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3306187
—
TN
05
—
5845483
—
VA
Enumeration date
06/01/2005
Last updated
09/23/2024
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