Individual
TERRY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7254 SINYARD RD, LITHIA SPRINGS, GA 30122-2532
(678) 886-0570
Mailing address
7254 SINYARD RD, LITHIA SPRINGS, GA 30122-2532
(678) 886-0570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN276988
GA
Other
Enumeration date
11/08/2021
Last updated
01/25/2022
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