Individual
MRS. CHRISTY L DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1670 SCOTT BLVD, DECATUR, GA 30033-5637
(470) 705-7700
Mailing address
169 FRED BISHOP DR, CANTON, GA 30114-7262
(706) 333-9932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN217755
GA
Other
Enumeration date
08/01/2018
Last updated
10/11/2018
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