Individual
JOSHANNON DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
207 S CLEVELAND AVE, ADEL, GA 31620-3223
(229) 560-5142
Mailing address
PO BOX 974, ADEL, GA 31620-0974
(229) 560-5142
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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