Organization
PULMONARY MEDICINE OF DICKSON, LLC
Active
Parent organization
MEDICAL GROUP - DICKSON, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL GROUP - DICKSON, INC.
Authorized official
CHUCK LOCKE (VICE PRESIDENT)
(615) 446-1260
Entity
Organization
Contact information
Practice address
111 HIGHWAY 70 E, 3RD FLOOR SUITE A, DICKSON, TN 37055-2080
(615) 446-1260
(615) 446-1265
Mailing address
111 HIGHWAY 70 E, 3RD FLOOR SUITE A, DICKSON, TN 37055-2080
(615) 446-1260
(615) 446-1265
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725580
—
TN
Enumeration date
09/14/2006
Last updated
08/28/2007
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