Dickerson, Leon Archibald

Dickerson, Leon Archibald is an individual health care provider with primary practice located at 2001 Randolph Rd , Charlotte NC 28207-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Dickerson, Leon Archibald can be contacted via phone (704) 332-2225.

Contact Information

Primary practice address
2001 Randolph Rd Charlotte NC 28207-1215
Phone: (704) 332-2225
Fax: (704) 339-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 19049 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19049 North Carolina

Profile Details

NPI number 1861474660
LBN Legal business name Dickerson, Leon Archibald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 19 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 1861474660 NPPES
North Carolina MEDICAID 8928461
North Carolina MEDICAID 232637

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