Individual
JERRY STEVE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5100
(706) 270-5066
Mailing address
1620 HICKORY ST, SUITE 404, DALTON, GA 30720-2312
(706) 270-5002
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN136659
GA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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