Dr. Diane Dicker, D.c. , Uscc | |
141 W Wieuca Rd Ne, Suite 100a, Atlanta, GA 30342-3251 | |
(404) 257-0310 | |
(404) 257-0310 |
Full Name | Dr. Diane Dicker, D.c. , Uscc |
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Type | Facility |
Speciality | Chiropractor |
Location | 141 W Wieuca Rd Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306037064 | NPI | - | NPPES |
1902990732 | Other | GA | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4870 (Georgia) | Primary |
Provider Name | Diane H Dicker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902990732 PECOS PAC ID: 2163490558 Enrollment ID: I20040923000240 |
Mailing Address | Practice Location Address |
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Dr. Diane Dicker, D.c. , Uscc 141 W Wieuca Rd Ne, Suite 100a, Atlanta, GA 30342-3251 Ph: (404) 257-0310 | Dr. Diane Dicker, D.c. , Uscc 141 W Wieuca Rd Ne, Suite 100a, Atlanta, GA 30342-3251 Ph: (404) 257-0310 |
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