John Graham Dickerson, MD is a
Family Medicine physician based in Drayton, South Carolina. John Graham Dickerson is licensed to practice in South Carolina (license number 20810) and his current practice location is 1800 Drayton Rd Ste 313, Drayton, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(864) 415-1540.
NPI number for John Graham Dickerson is 1376596593 and his current mailing address is 1800 Drayton Rd Ste 313, Drayton, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376596593.
Physician's Profile
| Full Name | John Graham Dickerson |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1800 Drayton Rd Ste 313, Drayton, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376596593
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 09/21/2020
Medical Identifiers
Medical identifiers for John Graham Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376596593 | NPI | - | NPPES |
| P00386791 | Other | GA | MEDICARE RAILROAD PTAN |
| 208108 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20810 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Graham Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Graham Dickerson, MD
1800 Drayton Rd Ste 313,
Drayton, SC 29333-7002
Ph: (864) 415-1540 | John Graham Dickerson, MD
1800 Drayton Rd Ste 313,
Drayton, SC 29333-7002
Ph: (864) 415-1540 |
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