| Mary S S Dickerson, OT | |
|
1755 Highway 34 E, Suite 1300, Newnan, GA 30265-5631 | |
| (770) 254-7850 | |
| Not Available |
| Full Name | Mary S S Dickerson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1755 Highway 34 E, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184758336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT003143 (Georgia) | Primary |
| Provider Name | Atlanta Rehabilitation And Performance Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982797494 PECOS PAC ID: 5890692917 Enrollment ID: O20060421000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary S S Dickerson, OT 3150 Highway 34 E Ste 140, Newnan, GA 30265-2121 Ph: (770) 251-2060 | Mary S S Dickerson, OT 1755 Highway 34 E, Suite 1300, Newnan, GA 30265-5631 Ph: (770) 254-7850 |
Alyssa Cox, MOT R/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2959 Sharpsburg Mccullum Rd Ste C, Newnan, GA 30265 Phone: 770-683-0250 Fax: 770-683-4250 | |
Tara Catherine Mulvany, M.O.T. R/L, CSI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2959 Sharpsburg Mccullum Rd, Building C, Suite C, Newnan, GA 30265 Phone: 770-683-0250 Fax: 770-683-4250 | |
Kimberly W Shelnutt, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1300, Newnan, GA 30265 Phone: 770-254-7850 | |
Rebecca Harris, M.O.T. R/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2959 Sharpsburg Mccullum Rd, Bldg. C, Ste C, Newnan, GA 30265 Phone: 770-683-0250 Fax: 770-683-4250 | |
Cassandra Sanford, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2959 Sharpsburg Mccullum Rd, Building C, Suite C, Newnan, GA 30265 Phone: 770-683-0250 Fax: 770-683-4250 | |
David Freeman, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2959 Sharpsburg Mccullum Rd, Bldg C, Suite C, Newnan, GA 30265 Phone: 770-683-0250 Fax: 770-683-4250 |