Individual provider · Type 1 NPI
Roderick Jerome Dickerson
Driver · Baton Rouge, LA
NPI number
1447415229
Active
Practice location
4033 Sycamore St
Baton Rouge, LA 70805-2952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1447415229
Roderick Jerome Dickerson's National Provider Identifier is 1447415229, issued on Jul 22, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 22, 2008.