# CAPE FEAR AESTHETICS PLLC

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

## Provider details

- **NPI number:** 1811192552
- **Authorized official:** EDWARD ERNEST DICKERSON IV MD (OWNER)
- **Authorized official phone:** (910) 323-3757

## Contact information

- **Practice address:** 2053 VALLEYGATE DR, STE. 102, FAYETTEVILLE, NC 28304-3688
- **Practice address phone:** (910) 323-3757
- **Practice address fax:** (910) 323-9247
- **Mailing address:** PO BOX 2814, BRYSON CITY, NC 28713-2814
- **Mailing address phone:** (910) 239-7600
- **Mailing address fax:** (828) 538-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NC | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 07/14/2021