Dickson Street Clinic in Fayetteville - Adult Medicine
Dickson Street Clinic - NPI 1427236926
Dickson Street Clinic is a Adult Medicine in Fayetteville, Arkansas. Dickson Street Clinic practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Dickson Street Clinic is 1427236926. The last update date is 2008-02-06.
Dickson Street Clinic's current location address is 102 W Dickson St, Fayetteville, Arkansas. You can contact this provider via phone number 4795211114 and fax number 4795212540. The mailing address for Dickson Street Clinic is 102 W Dickson St, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dickson Street Clinic |
|---|---|
| Address | 102 W Dickson St, Fayetteville, Arkansas |
| Phone Number | 4795211114 |
| Fax Number | 4795212540 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Magness R Carl |
| Credentials | MD |
| Telephone Number | 4795211114 |
NPI Number Detail
| NPI Number | 1427236926 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 102 W Dickson St |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727015219 |
| Phone Number | 4795211114 |
| Fax Number | 4795212540 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | C4954 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dickson Street Clinic by the Centers for Medicare & Medicaid Services?
The Dickson Street Clinic has been issued the NPI (National Provider Identifier) 1427236926, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dickson Street Clinic?
The Dickson Street Clinic is situated at 102 W Dickson St, in the city of Fayetteville, state of AR, with the zip code 727015219.
What is Dickson Street Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dickson Street Clinic's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
When was the Dickson Street Clinic's 1427236926 issued?
The Dickson Street Clinic's 1427236926 was issued on 2008-02-06.
When was the Dickson Street Clinic's information last updated?
The Dickson Street Clinic's information was last updated on 2008-02-06.
NPI Number: 1548255375
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