| Noah Dickens, | |
|
433 Main St, Leakesville, MS 39451-6502 | |
| (601) 394-4545 | |
| (601) 394-4546 |
| Full Name | Noah Dickens |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 433 Main St, Leakesville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861860710 | NPI | - | NPPES |
| 1003819608 | Other | MS | GROUP NPI |
| 529917620 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT5709 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Noah Dickens, 251 Johnston St Se Ste 300, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Noah Dickens, 433 Main St, Leakesville, MS 39451-6502 Ph: (601) 394-4545 |
Sherrill Hope Backstrom, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 316 Main St, Leakesville, MS 39451 Phone: 601-394-4545 Fax: 601-394-4546 | |
Charity Mills, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 433 Main St, Leakesville, MS 39451 Phone: 601-394-4545 |