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Individual

DR. KRISTIN MICHELLE DICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
650 PONCE DE LEON AVE NE STE 300, ATLANTA, GA 30308-1864
(678) 250-8021
Mailing address
966 DREWRY ST NE, ATLANTA, GA 30306-3800
(678) 923-8021

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056845
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056845
GEORGIA LICENSE
GA
Enumeration date
04/07/2006
Last updated
06/02/2022
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