Quinton Howard Dickerson in Jackson - Cardiovascular Disease

Quinton Howard Dickerson - NPI 1942243712

Quinton Howard Dickerson is a Cardiovascular Disease in Jackson, Mississippi. Quinton Howard Dickerson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Quinton Howard Dickerson is 1942243712. The last update date is 2010-02-02.

Quinton Howard Dickerson's current location address is 970 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019827850 and fax number 6017185145. The mailing address for Quinton Howard Dickerson is 970 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Quinton Howard Dickerson
Address 970 Lakeland Dr, Jackson, Mississippi
Phone Number 6019827850
Fax Number 6017185145
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1942243712
Provider Enumeration Date 2006-06-13
Last Updated Date 2010-02-02

Provider Mailing Address Detail

Address 970 Lakeland Dr
City Jackson
State Mississippi (MS)
Post Code 392164635
Phone Number 6019827850
Fax Number 6017185145

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 5261
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14082 MS --

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FAQs about Quinton Howard Dickerson

What is the unique 10-digit identifier code issued to Quinton Howard Dickerson by the Centers for Medicare & Medicaid Services?

The Quinton Howard Dickerson has been assigned the NPI (National Provider Identifier) 1942243712 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Quinton Howard Dickerson located?

The Quinton Howard Dickerson is located at 970 Lakeland Dr, Jackson, MS 392164635.

What is Quinton Howard Dickerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Quinton Howard Dickerson is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

On what date did Quinton Howard Dickerson receive its 1942243712 assignment from the Centers for Medicare & Medicaid Services?

The Quinton Howard Dickerson was assigned its 1942243712 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Quinton Howard Dickerson most recently updated or refreshed?

The details pertaining to the Quinton Howard Dickerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-02-02.

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