Doctor Name: | WINBURN JACKSON DICKENS |
NPI Number: | 1356475131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME 37209 |
Business Practice Address: | 152 Monroe Hwy Winder, GA - 306800664 |
Business Phone Number: | 7708680325 |
Business Fax Number: | |
Mailing Address: | 152 Monroe Highway, P.o. Box 664 WINDER |
State: | GA |
Postal Code: | 306800664 |
Phone Number: | 7708680325 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | ME 37209 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |