Quinton Howard Dickerson JR. MD

NPI 1942243712 - Internal Medicine - 207RC0000X

NPI Details
NPI 1942243712
Gender Male
Enumeration Date 06/13/2006
Last Updated 02/02/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
970 LAKELAND DR
SUITE 61
JACKSON MS, 39216-4635, US
Phone (601) 982-7850
Fax (601) 718-5145
Business Location
970 LAKELAND DR
SUITE 61
JACKSON MS, 39216-4635, US
Phone (601) 982-7850
Fax (601) 718-5145
Toxanomy
Taxonomy Code 207RC0000X
License State Mississippi
License Number 5261
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According to our database, Quinton Howard Dickerson JR. MD NPI is 1942243712, taxonomy code is 207RC0000X and license number is 5261, license state is located at Mississippi. Quinton Howard Dickerson JR. MD physically located at 970 Lakeland Dr, Jackson MS, 39216-4635. NPI Number Quinton Howard Dickerson JR. MD has the Individual type.

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1942243712 NPI number is provided on an as is basis without warranty of any kind. 1942243712 is maintained by the National Plan & Provider Enumeration System. The contents of Quinton Howard Dickerson JR. MD are for informational purposes only.