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Contact Information

RAYMOND S DICKERSON, PA-C
2200 HIGHWAY 155 N
MCDONOUGH, GA30252
 Phone: 678-490-0341
 Fax: 678-490-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RAYMOND S DICKERSON · (Male)

NPI # 1851521140
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/21/2009
Last updated 06/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 004069
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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