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Search › Georgia › 101YP2500X

Carl Dickerson, LPC

NPI 1215157045 · on the registry since 2007 · sole proprietor

Practice

Address
1595 Peachtree Pkwy, Ste 204, # 227
Cumming, GA 30041
Phone
(678) 431-2070
Fax
(470) 281-5711
Organisation at this address
The Kroger Co
Dental Max Llc
Heartland Dental Care Of Georgia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
MS, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia