Organization
DICKSON MEDICAL ASSOCIATES, PC
Active
Parent organization
DICKSON MEDICAL ASSOCIATES, PC
Other names
DMA Childrens Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DICKSON MEDICAL ASSOCIATES, PC
Authorized official
MISS CINDY A LIGHTHILL (EXECUTIVE DIRECTOR)
(615) 441-4477
Entity
Organization
Contact information
Practice address
114 HIGHWAY 70 E, DICKSON, TN 37055-7030
(615) 441-4530
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158185
BCBS TN GROUP PIN
TN
05
—
3721355
—
TN
01
—
CH3856
RAILROAD MEDICARE PIN
—
Enumeration date
09/05/2006
Last updated
08/24/2021
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