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Organization

MDASPECT SC

Active
Other names
MDAspect SC, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ROY DICKERSON IV (PARTNER)
(919) 210-6775
Entity
Organization

Contact information

Practice address
913 BOWMAN RD STE 104, MOUNT PLEASANT, SC 29464-3235
(919) 210-6775
(828) 327-2597
Mailing address
PO BOX 20083, CHARLOTTE, NC 28202-0027
(919) 210-6775
(828) 327-2597

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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