Organization
DICKSON MEDICAL ASSOCIATES, PC
Active
Parent organization
DICKSON MEDICAL ASSOCIATES, PC
Other names
Decatur Pulmonary & Sleep Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
DICKSON MEDICAL ASSOCIATES, PC
Authorized official
WILLIAM B LEGIER (ADMINISTRATOR)
(615) 441-4477
Entity
Organization
Contact information
Practice address
969 TENNESSEE AVE S, PARSONS, TN 38363-3700
(615) 441-4520
(615) 446-1357
Mailing address
113 HIGHWAY 70 E, DICKSON, TN 37055-2075
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158185
BCBS TN PIN
TN
05
—
3721355
—
TN
Enumeration date
09/10/2008
Last updated
09/11/2008
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