Dickerson, Derryl S.

Dickerson, Derryl S. is an individual health care provider with primary practice located at 2850 Johnson Ferry Rd Ste 150 , Marietta GA 30062-8317. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Dickerson, Derryl S. can be contacted via phone (770) 518-8786.

Contact Information

Primary practice address
2850 Johnson Ferry Rd Ste 150 Marietta GA 30062-8317
Phone: (770) 518-8786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA002699 Georgia
Chiropractic Providers / Rehabilitation 111NR0400X CHIR010363 Georgia

Profile Details

NPI number 1316253107
LBN Legal business name Dickerson, Derryl S.
Credentials DC, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated May 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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