DR. William M Dickerson JR., OD

NPI #1205951241 in Tupelo, Mississippi

Provider Information

NPI Number: 1205951241
Entity Type: Individual
Name: DR. William M Dickerson JR., OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 322 WEST MAIN
City: Tupelo
State: Mississippi
ZIP Code: 38802-0497
Phone: (662) 842-6634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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