Organization
DICKSON MEDICAL ASSOCIATES, PC
Active
Parent organization
DICKSON MEDICAL ASSOCIATES, PC
Other names
DMA General Surgery & Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DICKSON MEDICAL ASSOCIATES, PC
Authorized official
MISS CINDY A LIGHTHILL (EXECUTIVE DIRECTOR)
(615) 441-4477
Entity
Organization
Contact information
Practice address
704 E COLLEGE ST, DICKSON, TN 37055-2032
(615) 441-4504
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3158185
BCBS TN GROUP PIN
TN
05
—
3721355
—
TN
Enumeration date
09/05/2006
Last updated
09/20/2012
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