NPI age
20 years
Enumerated 2005-08-02
● Active
Type 1 · Individual
DR. Terry Dickerson, D.P.M.
Dickerson is 1 of 3 podiatrist providers in Riverdale and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-11-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
6567 Professional Pl
Riverdale, GA 302742519
Mailing address
6567 Professional Pl
Riverdale, GA 302742519
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00869679E | |
| 01 (GA) | 202833600 | DEPARTMENT OF LABOR |
| 01 (GA) | 7302184 | AETNA |
| 01 (GA) | 52811908 | BLUE CROSS BLUE SHIELD |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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