Provider Demographics
NPI:1114111879
Name:DICKINSON, CATHERINE NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:NICOLE
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:174 SAUNDERSVILLE RD STE 302
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8947
Mailing Address - Country:US
Mailing Address - Phone:615-348-8020
Mailing Address - Fax:718-682-3730
Practice Address - Street 1:174 SAUNDERSVILLE RD STE 302
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-8947
Practice Address - Country:US
Practice Address - Phone:615-348-8020
Practice Address - Fax:718-682-3730
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP354207Q00000X
SCLL 29968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine