Dr. Jill B Dickerson
M.D. | Pediatrics | Female
Dr. Jill B Dickerson, M.D. is a Newnan, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jill B Dickerson is
10 Market Square Way Ste 100, Newnan, Georgia - 30265-6078. She can be contacted on phone at
678-423-5560 and fax number 678-423-5563.
Dr. Jill B Dickerson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jill B Dickerson is
1497714257 which was assigned by NPPES on 21 Mar, 2006 and it was last updated on 22 Oct, 2012.
Dr. Jill B Dickerson license number is
061061 for Pediatrics (208000000X) in Georgia.
Dr. Jill B Dickerson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jill B Dickerson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jill B Dickerson |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Jill B Dickerson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10 Market Square Way Ste 100
Newnan, GA, 30265-6078
United States |
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| Phone Number : | 678-423-5560 |
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| Fax Number : | 678-423-5563 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497714257 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Mar, 2006 |
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| Last Updated On : | 22 Oct, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jill B Dickerson are as mentioned. Primary taxonomy code for Dr. Jill B Dickerson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 061061 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jill B Dickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 182611684A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 87 Tapestry Ln
Newnan, GA, 30265-5649
United States |
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| Phone Number : | 678-423-5560 |
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| Fax Number : | 678-423-5563 |
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Business Location:
Patients can refer following map for directions to
Dr. Jill B Dickerson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.