Individual
WILLICIA A DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 GREEN STREET, SUITE 100A, AUGUSTA, GA 30901
(706) 910-0132
(706) 910-0148
Mailing address
1301 GREEN STREET, SUITE 100A, AUGUSTA, GA 30901
(706) 910-0132
(706) 910-0148
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC000206
GA
Other
Enumeration date
10/27/2021
Last updated
09/07/2023
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