Individual
FRANK MONTGOMERY DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144379314
—
NC
01
—
1639E
BCBS NC
NC
Enumeration date
01/09/2007
Last updated
12/07/2016
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