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Individual

DR. ELIZABETH ANDERSON DICKINSON

Active
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Individual

DR. ELIZABETH ANDERSON DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12821
SC
207QA0505X
Adult Medicine Physician
12821
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240272
UNISON
SC
01
—
034
TRICARE
SC
01
—
0422230
CIGNA
SC
01
—
062
BCBS
SC
01
—
063
BCBS
SC
05
—
128212
—
SC
01
—
18500
EVOLUTIONS
SC
01
—
207167
MEDCOST
SC
01
—
5909339
NC MEDICAID
NC
Enumeration date
02/20/2007
Last updated
02/01/2021
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