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Dr. Gregg Alan Dickerson, MD
Radiation Oncology Physician in Greenville, Mississippi
NPI 1699777854

Gregg Alan Dickerson is a Radiation Oncology Physician based in Lone Tree, MS and is specialized in Radiation Oncology. Gregg Alan Dickerson practices in Greenville, MS and has the professional credentials of MD. The NPI Number for Gregg Alan Dickerson is 1699777854 and holds a License No. 17812 (Mississippi).

The current practice location address for Gregg Alan Dickerson is 1514 E Union St, Greenville, MS and can be reached out via phone at 662-332-6150. You can also correspond with Gregg Alan Dickerson through the mailing address at 10542 LIETER PL, LONE TREE, CO - 80124-9786 (mailing address contact number: 303-506-4753).

Location: 1514 E Union St, Greenville, MS, 80124-9786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699777854
Provider Name
Gregg Alan Dickerson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1514 E Union St, Greenville, MS, 80124-9786
Phone Number
662-332-6150
Fax Number
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10781438 01 MS UNITEDHEALTHCARE CAQH
896610 01 MN USA MANAGED CARE ORG
institution
Provider Business Practice Location Address Details
Address
1514 E Union St
City
Greenville
State
Mississippi
Zip
38703-3248
Phone Number
662-332-6150
Fax Number
person
Provider Business Mailing Address Details
Address
1514 E Union St
City
Greenville
State
Mississippi
Zip
38703-3248
Phone Number
662-332-6150
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
47586 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
17812 (Mississippi)
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.
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