Individual
DR. STANLEY M DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
840 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 381-4911
(931) 381-0966
Mailing address
840 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 381-4911
(931) 381-0966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD612
TN
Other
Enumeration date
01/17/2008
Last updated
07/27/2011
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