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Individual

DR. ANN SIDWELL PIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
201 COVE RD, JASPER, GA 30143-1356
(706) 253-9515
(706) 253-9516
Mailing address
201 COVE RD, JASPER, GA 30143-1356
(706) 253-9515
(706) 253-9516

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1346
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00425092B
GA
Enumeration date
01/05/2007
Last updated
06/03/2008
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