Individual
MR. RAYMOND SCOTT DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252
(678) 490-0341
(678) 490-0349
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004069
GA
Other
Enumeration date
07/21/2009
Last updated
06/07/2022
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