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Shantil Dickerson
NPI 1689112039 · on the registry since 2017
Practice
- Address
- 22 Nw 11th St.
Richmond, IN 47374 - Phone
- (330) 716-2285
- Clinicians at this address
- 2
Additional practice sites
- 550 Hallmark Dr, Eaton, OH
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- IN, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana