Individual
CONSUELA DICKERSON-WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5385 FIVE FORKS TRICKUM RD STE N, STONE MOUNTAIN, GA 30087-3018
(470) 610-9299
Mailing address
5385 FIVE FORKS TRICKUM RD STE N, STONE MOUNTAIN, GA 30087-3018
(470) 610-9299
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2993387
GA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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