Individual
ANDRE ANTHONY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8389 CLIMAX RD, GRETNA, VA 24557-2567
(434) 238-0010
(434) 656-8009
Mailing address
8389 CLIMAX RD, GRETNA, VA 24557-2567
(434) 238-0010
(434) 656-8009
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T60712212
VA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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