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Individual

THOMAS W DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3015 W PALMETTO ST, FLORENCE, SC 29501-5935
(843) 777-6870
(843) 777-7687
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 391-2011
(843) 391-2021

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12822
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128221
SC
Enumeration date
02/09/2006
Last updated
02/01/2021
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