Individual
GENE FRANKLIN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 N SUMTER ST, STE 300, SUMTER, SC 29150-4972
(803) 775-4655
(803) 775-7258
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7303
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
011086
SC
208600000X
Surgery Physician
Primary
11086
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110864
—
SC
Enumeration date
05/20/2006
Last updated
01/08/2019
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