Individual
JAMEIKA CRAWFORD-DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9252
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN192435
GA
207QA0505X
Adult Medicine Physician
RN192435
GA
363LF0000X
Family Nurse Practitioner
Primary
RN192435
GA
Other
Enumeration date
08/24/2017
Last updated
12/27/2023
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