Organization
MICHAEL M. DICKERSON, MD
Active
Other names
MD Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M. DICKERSON MD (OWNER)
(304) 420-7156
Entity
Organization
Contact information
Practice address
1602 GREENMONT HILLS DR, VIENNA, WV 26105-3292
(304) 420-7156
Mailing address
1602 GREENMONT HILLS DR, VIENNA, WV 26105-3292
(304) 420-7156
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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