Sandra Jones Dickerson in Mableton - Otolaryngology
Sandra Jones Dickerson - NPI 1164521985
Sandra Jones Dickerson is a Otolaryngology in Mableton, Georgia. Sandra Jones Dickerson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Sandra Jones Dickerson is 1164521985. The last update date is 2021-04-21.
Sandra Jones Dickerson's current location address is 5695 Kilrush Ct Se, Mableton, Georgia. You can contact this provider via phone number 4045781057. The mailing address for Sandra Jones Dickerson is 5695 Kilrush Ct Se, Mableton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Jones Dickerson |
|---|---|
| Address | 5695 Kilrush Ct Se, Mableton, Georgia |
| Phone Number | 4045781057 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164521985 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2021-04-21 |
Provider Mailing Address Detail
| Address | 5695 Kilrush Ct Se |
|---|---|
| City | Mableton |
| State | Georgia (GA) |
| Post Code | 301265636 |
| Phone Number | 4045781057 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 34869 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000469675A | GA | -- | |
| 58-1158044 | GA | TAX ID |
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What is the unique 10-digit identifier code issued to Sandra Jones Dickerson by the Centers for Medicare & Medicaid Services?
The Sandra Jones Dickerson has been assigned the NPI (National Provider Identifier) 1164521985 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Sandra Jones Dickerson located?
The Sandra Jones Dickerson is located at 5695 Kilrush Ct Se, Mableton, GA 301265636.
What is the area of specialization for Sandra Jones Dickerson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sandra Jones Dickerson is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164521985 to Sandra Jones Dickerson?
The Centers for Medicare & Medicaid Services originally issued the 1164521985 to Sandra Jones Dickerson on 2006-09-21.
As of what date were the Sandra Jones Dickerson's details last updated?
The information pertaining to the Sandra Jones Dickerson, including its address, specialty, and other details, was most recently updated on 2021-04-21.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH