Search › Georgia › 208000000X
Jill Dickerson, M.D
NPI 1497714257 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10 Market Square Way Ste 100
Newnan, GA 30265 - Phone
- (678) 423-5560
- Fax
- (678) 423-5563
- Organisation at this address
- Vibrant Kids Pediatrics, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-22
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