# F KEELS DICKSON MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205907573
- **Authorized official:** DR. FLYNN KEELS DICKSON MD (PHYSICIAN)
- **Authorized official phone:** (704) 366-0249

## Contact information

- **Practice address:** 3116 CLARENDON RD, CHARLOTTE, NC 28211-3231
- **Practice address phone:** (704) 366-0249
- **Practice address fax:** (704) 362-2329
- **Mailing address:** 3116 CLARENDON RD, CHARLOTTE, NC 28211-3231
- **Mailing address phone:** (704) 366-0249
- **Mailing address fax:** (704) 362-2329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 19158 | NC | Yes |

## Other

- **Enumeration date:** 11/10/2006
- **Last updated:** 08/22/2020