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1245892595
COREY MITCHELL DICKINSON
COLUMBIA, SC
NPI
1245892595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23062)
Enumeration Date
2019-07-07
Last Update Date
2019-10-01
Business Address
Miss COREY MITCHELL DICKINSON NP
5900 GARNERS FERRY RD
COLUMBIA, SC 29209-1301
Phone number: 803-695-5450
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Mailing Address
Miss COREY MITCHELL DICKINSON NP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-434-1488
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