MILTON LOUIS DICKERSON
NPI 1255651139
Driver in Memphis, TN
Active since June 02, 2010
About Milton Louis Dickerson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILTON LOUIS DICKERSON (NPI 1255651139) is an individual driver provider in Memphis, Tennessee, licensed in Tennessee (045131076) and active in the NPI registry since June 2010.
NPPES Registry Identity
NPI1255651139
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameMILTON LOUIS DICKERSON
Location Address3350 MILLINGTON RDMemphis, TN 38127-5216
Mailing Address3350 Millington RdMemphis, TN 38127-5216 · (901) 353-1353 · Fax (901) 353-6412
Phone(901) 353-1353
Fax(901) 353-6412
Sole ProprietorYes
Enumeration DateJune 2, 2010
✔ NPI 1255651139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in TN · 045131076
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
3350 MILLINGTON RD, Memphis, TN 38127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255651139, enumerated as an "individual" on June 02, 2010.
The provider is located at 3350 MILLINGTON RD MEMPHIS, TN 38127 and the phone number is (901) 353-1353.
Driver with taxonomy code 172A00000X.