Mario S. Dickens in Chattanooga - Podiatrist

Mario S. Dickens - NPI 1902843154

Mario S. Dickens is a Podiatrist in Chattanooga, Tennessee. Mario S. Dickens practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mario S. Dickens is 1902843154. The last update date is 2015-03-11.

Mario S. Dickens's current location address is 6116 Shallowford Rd, Chattanooga, Tennessee. You can contact this provider via phone number 4237101224 and fax number 4237101228. The mailing address for Mario S. Dickens is 6116 Shallowford Rd, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mario S. Dickens
Address 6116 Shallowford Rd, Chattanooga, Tennessee
Phone Number 4237101224
Fax Number 4237101228
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1902843154
Provider Enumeration Date 2006-05-31
Last Updated Date 2015-03-11

Provider Mailing Address Detail

Address 6116 Shallowford Rd
City Chattanooga
State Tennessee (TN)
Post Code 374217201
Phone Number 4237101224
Fax Number 4237101228

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 690
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4342355 MI --
P00744501 RAILROAD MEDICARE
1512827 TN --

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FAQs about Mario S. Dickens

What is the unique 10-digit identifier code issued to Mario S. Dickens by the Centers for Medicare & Medicaid Services?

The Mario S. Dickens has been assigned the NPI (National Provider Identifier) 1902843154 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mario S. Dickens?

The Mario S. Dickens is situated at 6116 Shallowford Rd, in the city of Chattanooga, state of TN, with the zip code 374217201.

What is Mario S. Dickens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mario S. Dickens is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.

When was the Mario S. Dickens's 1902843154 issued?

The Mario S. Dickens's 1902843154 was issued on 2006-05-31.

As of what date was the information regarding Mario S. Dickens, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mario S. Dickens, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-11.

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