Leon Archibald Dickerson in Charlotte - Orthopaedic Surgery Of The Spine

Leon Archibald Dickerson - NPI 1861474660

Leon Archibald Dickerson is a Orthopaedic Surgery Of The Spine in Charlotte, North Carolina. Leon Archibald Dickerson practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Leon Archibald Dickerson is 1861474660. The last update date is 2007-07-08.

Leon Archibald Dickerson's current location address is 2001 Randolph Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043322225 and fax number 7043391448. The mailing address for Leon Archibald Dickerson is 2001 Randolph Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leon Archibald Dickerson
Address 2001 Randolph Rd, Charlotte, North Carolina
Phone Number 7043322225
Fax Number 7043391448
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1861474660
Provider Enumeration Date 2005-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2001 Randolph Rd
City Charlotte
State North Carolina (NC)
Post Code 282071215
Phone Number 7043322225
Fax Number 7043391448

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No 19049
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8928461 NC --
232637 SC --

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FAQs about Leon Archibald Dickerson

What is the unique 10-digit identification code issued to Leon Archibald Dickerson by the Centers for Medicare & Medicaid Services?

The Leon Archibald Dickerson has been assigned the NPI (National Provider Identifier) 1861474660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Leon Archibald Dickerson's physical address?

The Leon Archibald Dickerson is physically located at 2001 Randolph Rd, in the city of Charlotte, NC, with the postal code 282071215.

What is the Leon Archibald Dickerson's area of specialization and corresponding taxonomy classification?

The Leon Archibald Dickerson's specialty field is Orthopaedic Surgery Of The Spine, and it falls under the taxonomy code 207Xs0117X, which categorizes healthcare providers based on their specialties.

When was the Leon Archibald Dickerson's 1861474660 issued?

The Leon Archibald Dickerson's 1861474660 was issued on 2005-11-17.

As of what date were the details related to Leon Archibald Dickerson most recently updated or revised?

The information pertaining to Leon Archibald Dickerson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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