DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRYL S. DICKERSON, DC, PTA

Active

DERRYL S. DICKERSON, DC, PTA is a Rehabilitation (Chiropractor) healthcare provider located in MARIETTA, Georgia. NPI 1316253107 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation (Chiropractor) · MARIETTA, GA

Registration Details

NPI Number
1316253107
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2010 (15.979135312366 yrs)
Last Updated
May 21, 2020
Licenses
PTA002699 (GA)
CHIR010363 (GA)

Practice Information

Address
2850 JOHNSON FERRY RD STE 150
MARIETTA, GA, 300628317
Browse GA providers · Browse ZIP 30062
Phone
7705188786
Primary Specialty
Rehabilitation (Chiropractor)
111NR0400X
Additional Specialty
Rehabilitation (Chiropractor)

Other Rehabilitation (Chiropractor) Providers in MARIETTA, GA

Name Credential NPI
MRS. MEIRAV ERTLE DC 1821174574
DR. JOSEPH VANCE HAEZEBROUCK D.C. 1881770188
DR. MITCHELL SHEA ARNOLD D.C. 1407983885
DR. THADDEUS JAMES LAYTON D.C. 1396875449
KENNETH STEPHEN WEINER D.C. 1093834616
DR. RICKEY LEON GOINS D.C. 1689794562
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.