Organization
DR. DIANE DICKER, D.C. , USCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE DICKER D. C. (GENERAL MANAGER)
(404) 257-0310
Entity
Organization
Contact information
Practice address
141 W WIEUCA RD NE, SUITE 100A, ATLANTA, GA 30342-3251
(404) 257-0310
(404) 257-0310
Mailing address
141 W WIEUCA RD NE, SUITE 100A, ATLANTA, GA 30342-3251
(404) 257-0310
(404) 257-0310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4870
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902990732
PERSONAL NPI
GA
Enumeration date
08/07/2007
Last updated
08/07/2007
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