Individual
SHEILA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
302 TIMBERLINE DR, DEMOREST, GA 30535-4856
(706) 949-1723
(706) 778-0315
Mailing address
302 TIMBERLINE DR, DEMOREST, GA 30535-4856
(706) 949-1723
(706) 778-0315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
040602
GA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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