Individual
WINBURN JACKSON DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 MONROE HWY, WINDER, GA 30680-0664
(770) 868-0325
Mailing address
152 MONROE HIGHWAY, P.O. BOX 664, WINDER, GA 30680-0664
(770) 868-0325
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
013965
GA
2085R0001X
Radiation Oncology Physician
40576
TN
2085R0001X
Radiation Oncology Physician
ME 37209
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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