Dickinson, Terri A

Dickinson, Terri A is an sole proprietor health care provider with primary practice located at 3050 Union Church Rd Sw , Stockbridge GA 30281-5430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dickinson, Terri A can be contacted via phone (770) 378-0855.

Contact Information

Primary practice address
3050 Union Church Rd Sw Stockbridge GA 30281-5430
Phone: (770) 378-0855
Fax: (770) 860-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT006178 Georgia

Profile Details

NPI number 1275602930
LBN Legal business name Dickinson, Terri A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275602930 NPPES
Georgia Other 10046652 AMERIGROUP

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