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Riley Dickerson, DPH
NPI 1730473075 · on the registry since 2011
Practice
- Address
- 5604 Hixson Pike
Hixson, TN 37343 - Phone
- (423) 842-3500
- Fax
- (423) 842-7483
- Organisation at this address
- K Va T Food Stores, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-03
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 Tennessee