Dickert, Clinton Donald

Dickert, Clinton Donald is an individual health care provider with primary practice located at 1226 Dantignac St , Augusta GA 30901-2788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickert, Clinton Donald can be contacted via phone (706) 922-0600.

Contact Information

Primary practice address
1226 Dantignac St Augusta GA 30901-2788
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 074576 Georgia

Profile Details

NPI number 1326309196
LBN Legal business name Dickert, Clinton Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Apr 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers