NPI 1235089962

Johnathon Dickerson

Practitioner Contractor Starkville, MS

Practice location

Address: 7662 New Light Rd, Starkville, MS 39759-5640
Phone: (662) 694-2556

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1235089962
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2026
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.