DR. M.D. Michael M Dickerson, NPI 1073512059
Emergency Medicine Physician in Parkersburg, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073512059
NPI Entity Type Individual
Provider Name DR. M.D. Michael M Dickerson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 800 Garfield Ave, Healing Center At Ccmh, Parkersburg, WV, US
Provider Mailing Address 1602 Greenmont Hills Dr, Vienna, WV, US, 261053292
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207P00000X

Taxonomy Name Emergency Medicine Physician
Classification

Emergency Medicine

Group

Allopathic & Osteopathic Physicians

License No. 200001115
License State NC
Description An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

DR. M.D. Michael M Dickerson
800 Garfield Ave
Healing Center At Ccmh

Parkersburg, WV, US

Phone: 304-424-2228
Fax: 304-420-7128

Mailing Address

DR. M.D. Michael M Dickerson
1602 Greenmont Hills Dr
Vienna, WV, US
ZIP 261053292
Phone: 304-424-2228
Fax: 304-420-7128

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
89127TY NC MEDICAID 05
D0709 NC MEDCOST # 01
127TY NC BCBS OF NC GROUP #015CK 01

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Mary Mccullough

Individual

Personal Care Attendant

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