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Andre Anthony Dickerson
Private Vehicle in Gretna, Virginia
NPI 1437798816

Andre Anthony Dickerson is a Private Vehicle based in Gretna, VA. Andre Anthony Dickerson practices in Gretna, VA. The NPI Number for Andre Anthony Dickerson is 1437798816 and holds a License No. T60712212 (Virginia).

The current practice location address for Andre Anthony Dickerson is 8389 Climax Rd, Gretna, VA and can be reached out via phone at 434-238-0010 and via fax at 434-656-8009.

Location: 8389 Climax Rd, Gretna, VA, 24557-2567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437798816
Provider Name
Andre Anthony Dickerson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8389 Climax Rd, Gretna, VA, 24557-2567
Phone Number
434-238-0010
Fax Number
434-656-8009
Provider Enumeration Date
01/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8389 Climax Rd
City
Gretna
State
Virginia
Zip
24557-2567
Phone Number
434-238-0010
Fax Number
434-656-8009
person
Provider Business Mailing Address Details
Address
8389 Climax Rd
City
Gretna
State
Virginia
Zip
24557-2567
Phone Number
434-238-0010
Fax Number
434-656-8009
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
T60712212 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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