Individual
DEMETRIUS LEUTREL DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
078017
GA
2085R0202X
Diagnostic Radiology Physician
60079309
WA
Other
Enumeration date
06/02/2009
Last updated
02/21/2024
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