Individual
MS. TAMARA DICKERSON DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
2148 WYETH WALK, MARIETTA, GA 30062-6047
(770) 713-4984
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2456
GA
Other
Enumeration date
12/13/2006
Last updated
07/06/2022
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