Dickson, Kristin Michelle

Dickson, Kristin Michelle is an individual health care provider with primary practice located at 650 Ponce De Leon Ave Ne Ste 300 , Atlanta GA 30308-1864. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dickson, Kristin Michelle can be contacted via phone (678) 250-8021.

Contact Information

Primary practice address
650 Ponce De Leon Ave Ne Ste 300 Atlanta GA 30308-1864
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 056845 Georgia

Profile Details

NPI number 1760445225
LBN Legal business name Dickson, Kristin Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760445225 NPPES
Georgia Other 056845 GEORGIA LICENSE

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