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Organization

PRESTIGE MEDICAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTY DICKERSON AGNP-C (OWNER)
(706) 333-9932
Entity
Organization

Contact information

Practice address
4529 STERLING POINTE DR NW, KENNESAW, GA 30152-7321
(706) 333-9932
Mailing address
PO BOX 1712, KENNESAW, GA 30156-8712

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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