Individual
ANDREW DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154737
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN15235
TN
Other
Enumeration date
09/22/2010
Last updated
10/22/2010
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