Individual
DR. CATHERINE K DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 CANAL ST, POOLER, GA 31322-4016
(912) 355-6221
Mailing address
5 AZALIA DR, STATESBORO, GA 30458-4908
(912) 681-3040
(912) 681-3040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35240
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00553407E
—
GA
Enumeration date
10/06/2006
Last updated
08/27/2024
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