Individual
DR. DAVID MICHAEL SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
(731) 668-6757
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2070
(731) 661-9825
(731) 668-6757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42105
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
42105
TN
Other
Enumeration date
09/21/2006
Last updated
02/25/2020
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