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Individual

DR. ANDREW E DICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3614 J DEWEY GRAY CIR, SUITE B, AUGUSTA, GA 30909-6602
(706) 868-8854
(706) 868-8773
Mailing address
3614 J DEWEY GRAY CIR, SUITE B, AUGUSTA, GA 30909-6602
(706) 868-8854
(706) 868-8773

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA26254
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00350424C
GA
Enumeration date
01/25/2006
Last updated
07/08/2007
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