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Individual

DR. ROBERT MARSHALL DIMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5651 FRIST BOULEVARD, SUITE 500, HERMITAGE, TN 37076
(615) 889-3340
(615) 889-6087
Mailing address
1321 MURFREESBORO ROAD, SUITE 510, NASHVILLE, TN 37217
(615) 366-8890
(615) 366-3379

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25983
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25983
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3085662
TN
01
3143916
BCBS
TN
01
4079243
BCBS
TN
Enumeration date
02/02/2006
Last updated
09/08/2020
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