| Organization Name: | DICKSON MEDICAL ASSOCIATES, PC |
| NPI Number: | 1912015108 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY A LIGHTHILL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 5194 Highway 100 Suite 106 Lyles |
| State: | TN US |
| Postal Code: | 370982821 |
| Phone Number: | 9316701102 |
| Fax Number: | 6154461357 |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 09/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |