Dickerson, Andrea Karen

Dickerson, Andrea Karen is an individual health care provider with primary practice located at 2053 Valleygate Dr Ste. 201, Fayetteville NC 28304-3688. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dickerson, Andrea Karen can be contacted via phone (910) 484-9020.

Contact Information

Primary practice address
2053 Valleygate Dr Ste. 201 Fayetteville NC 28304-3688
Phone: (910) 484-9020
Fax: (910) 484-9012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200000043 North Carolina

Profile Details

NPI number 1255323176
LBN Legal business name Dickerson, Andrea Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255323176 NPPES
North Carolina MEDICAID 89125OJ

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