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1356878946
SHAW STANFORD DICKERSON
GALLATIN, TN
NPI
1356878946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 11312)
Enumeration Date
2017-05-15
Last Update Date
2022-01-13
Business Address
SHAW STANFORD DICKERSON DPT
940 MEMORY LN STE 103
GALLATIN, TN 37066-7162
Phone number: 615-451-5158
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Mailing Address
SHAW STANFORD DICKERSON DPT
PO BOX 681478
FRANKLIN, TN 37068-1478
Phone number: 615-591-6590
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