IndividualActive
Johnathon Dickerson
NPI 1235089962 · Contractor · Starkville, MS
Provider details
- NPI number
- 1235089962
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
7662 New Light Rd
Starkville, MS 39759-5640
Phone: (662) 694-2556
Approximate (ZIP-level) locationGet directions
Mailing address
7662 New Light Rd
Starkville, MS 39759-5640
Additional practice locations (1)
- 1351 John Robert DrMorrow, GA 30260-1715Phone: (662) 694-2556
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.