DR. Stanley M Dickerson, O.D.

NPI #1467638650 in Columbia, Tennessee

Provider Information

NPI Number: 1467638650
Entity Type: Individual
Name: DR. Stanley M Dickerson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 17, 2008
Last Updated: Jul 27, 2011

Practice Location

Address: 840 HATCHER LN
City: Columbia
State: Tennessee
ZIP Code: 38401-3528
Phone: (931) 381-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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