Provider Demographics
NPI:1841351772
Name:DICKSON, FRANCIS DE GRAFT (MD)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:DE GRAFT
Last Name:DICKSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10401 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-0334
Mailing Address - Fax:301-856-0709
Practice Address - Street 1:10401 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-0334
Practice Address - Fax:301-856-0709
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031567207VG0400X
DCMD17281207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD365941100Medicaid
MD365941100Medicaid