Organization
MARY CURRY DICKERSON, MD, LLC
Active
Organization
MARY CURRY DICKERSON, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY CURRY DICKERSON MD (OWNER)
(225) 654-1124
Entity
Organization
Contact information
Practice address
20474 OLD SCENIC HWY, ZACHARY, LA 70791-7300
(225) 654-1124
(225) 654-7079
Mailing address
2561 CITIPLACE CT, SUITE 750-156, BATON ROUGE, LA 70808-2722
(225) 201-2112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200824
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4603970650
BLUE CROSS
LA
Enumeration date
12/07/2007
Last updated
12/07/2007
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