Dickerson, Reginald Peeler
Dickerson, Reginald Peeler is an individual health care provider with primary practice located at 300 Steam Plant Rd Suite 300, Gallatin TN 37066-3032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Dickerson, Reginald Peeler can be contacted via phone (615) 451-9200.Contact Information
Primary practice address
300 Steam Plant Rd Suite 300
Gallatin TN 37066-3032
Phone: (615) 451-9200
Fax: (615) 989-4217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 43777 | Tennessee |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 43777 | Tennessee |
Profile Details
| NPI number | 1942290333 |
|---|---|
| LBN Legal business name | Dickerson, Reginald Peeler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942290333 | NPPES |
| Tennessee | Other | P00702357 | RR MEDICARE |
| Tennessee | MEDICAID | 1507710 | RR MEDICARE |
| Tennessee | Other | 6011931 | RR MEDICARE |
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