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
Phone: (706) 922-0600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
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