Individual
MS. KIMBERLY DAWN DYCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR, SUITE 200, CUMMING, GA 30041-6012
(770) 887-2323
Mailing address
1100 NORTHSIDE FORSYTH DRIVE, ST 200, CUMMING, GA 30041
(770) 887-2323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6644
GA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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