Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dickson Street Clinic

Organization Adult Medicine Physician · NPI 1427236926

Dickson Street Clinic is an Adult Medicine Physician in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008

Practice location Address checks out

102 W Dickson St
Fayetteville, AR 72701-5219
Phone: (479) 521-1114
Fax: (479) 521-2540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence C4954 (AR)

Record details

NPI number1427236926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Magness — Owner/Physician · (479) 521-1114
NPI enumeratedFebruary 6, 2008
Last updated in NPPESFebruary 6, 2008
Mailing address102 W Dickson St, Fayetteville, AR 72701-5219

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