Dickerson, Tamara Dickerson
Dickerson, Tamara Dickerson is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Dickerson, Tamara Dickerson can be contacted via phone (770) 794-0477.Contact Information
Primary practice address
677 Church St Ne
Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 2456 | Georgia |
Profile Details
NPI number | 1639230428 |
---|---|
LBN Legal business name | Dickerson, Tamara Dickerson |
Credentials | AA-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jul 6th, 2022 - about 2 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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