person
Ms. Sara Marie Dicken, PA-C
Medical Physician Assistant in Lebanon, Tennessee
NPI 1942297197

Sara Marie Dicken is a Medical Physician Assistant based in Lebanon, TN and is specialized in Medical. Sara Marie Dicken practices in Lebanon, TN and has the professional credentials of PA-C. The NPI Number for Sara Marie Dicken is 1942297197 and holds a License No. PA2842 (Tennessee).

The current practice location address for Sara Marie Dicken is 6650 Eastgate Blvd Ste 104, Lebanon, TN and can be reached out via phone at 615-453-9492 and via fax at 615-453-9498.

Location: 6650 Eastgate Blvd Ste 104, Lebanon, TN, 37090-6018
person
Provider Profile Details
NPI Number
1942297197
Provider Name
Sara Marie Dicken
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6650 Eastgate Blvd Ste 104, Lebanon, TN, 37090-6018
Phone Number
615-453-9492
Fax Number
615-453-9498
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q031810 05 TN
institution
Provider Business Practice Location Address Details
Address
6650 Eastgate Blvd Ste 104
City
State
Zip
37090-6018
Phone Number
615-453-9492
Fax Number
615-453-9498
person
Provider Business Mailing Address Details
Address
6650 Eastgate Blvd Ste 104
City
State
Zip
37090-6018
Phone Number
615-453-9492
Fax Number
615-453-9498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2842 (Tennessee)
Definition
Definition to come...
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