Tamara Dickerson Dickerson in Marietta - Anesthesiologist Assistant
Tamara Dickerson Dickerson - NPI 1639230428
Tamara Dickerson Dickerson is a Anesthesiologist Assistant in Marietta, Georgia. Tamara Dickerson Dickerson practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Tamara Dickerson Dickerson is 1639230428. The last update date is 2022-07-06.
Tamara Dickerson Dickerson's current location address is 677 Church St Ne, Marietta, Georgia. You can contact this provider via phone number 7707940477 and fax number 7707943108. The mailing address for Tamara Dickerson Dickerson is 677 Church St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Dickerson Dickerson |
|---|---|
| Address | 677 Church St Ne, Marietta, Georgia |
| Phone Number | 7707940477 |
| Fax Number | 7707943108 |
| Sole Proprietor | N |
| Credentials | AA-C |
NPI Number Detail
| NPI Number | 1639230428 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2022-07-06 |
Provider Mailing Address Detail
| Address | 677 Church St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601101 |
| Phone Number | 7707940477 |
| Fax Number | 7707943108 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 2456 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Post Comment/ Review Below
What is the Tamara Dickerson Dickerson's unique identification number?
The Tamara Dickerson Dickerson has been assigned the NPI (National Provider Identifier) Number 1639230428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Tamara Dickerson Dickerson is physically located?
The Tamara Dickerson Dickerson is situated at the following address: 677 Church St Ne, Marietta, GA 300601101.
What is Tamara Dickerson Dickerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tamara Dickerson Dickerson's specialized field of practice is Anesthesiologist Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 367H00000X.
On what date did the Tamara Dickerson Dickerson receive the assignment of its 1639230428 from the Centers for Medicare & Medicaid Services?
The Tamara Dickerson Dickerson was issued its 1639230428 by the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date was the information regarding Tamara Dickerson Dickerson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tamara Dickerson Dickerson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-06.