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DR. OTIS ADAM DICKERSON D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1205902319

Individual Registrant:
DR. OTIS ADAM DICKERSON D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
410 N NASHVILLE AVE  SHEFFIELD, AL 35660-2938 US
Tel: 256-383-1468  Fax: 256-383-2132

Contact information for business:
410 N NASHVILLE AVE  SHEFFIELD, AL 35660-2938 US
Tel: 256-383-1468  Fax: 256-383-2132

Registration Information:
NPI: 1205902319
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AL1883

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD51505689DICAL01




HEALTH CARE JOBS AL - Page 1



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