Individual provider · Type 1 NPI

Demetrius Leutrel Dicks, MD

Diagnostic Radiology Physician · Marietta, GA

NPI number 1336375500 Active

Practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Call (770) 405-2976 Map

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Other practice locations

  • 1959 NE Pacific St, Department Of Radiology, NW011L, Seattle, WA 98195-0001 · (206) 540-0308

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X078017 (GA)
Diagnostic Radiology Physician 2085R0202X60079309 (WA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1336375500

Demetrius Leutrel Dicks, MD's National Provider Identifier is 1336375500, issued on Jun 2, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marietta, GA. The record was last updated on Feb 21, 2024.