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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