Individual
DR. CLINTON DONALD DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1226 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(706) 922-0600
Mailing address
9 OAKLEAF DR, NORTH AUGUSTA, SC 29860-9721
(803) 292-8227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
074576
GA
Other
Enumeration date
06/07/2012
Last updated
04/27/2020
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