Individual
DR. DOUGLAS DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 KNOX BRIDGE HWY, CANTON, GA 30114
(770) 479-3202
Mailing address
PO BOX 986, CANTON, GA 30169-0986
(770) 479-3202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10212
GA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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