Individual
JOHN GRAHAM DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 DRAYTON RD STE 313, DRAYTON, SC 29333-7002
(864) 415-1540
Mailing address
1800 DRAYTON RD STE 313, DRAYTON, SC 29333-7002
(864) 415-1540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208108
—
SC
01
—
P00386791
MEDICARE RAILROAD PTAN
GA
Enumeration date
05/18/2006
Last updated
09/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us