Individual
JESSICA CAROLINE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 RANDOLPH RD STE 580, CHARLOTTE, NC 28207-1116
(704) 384-9900
(704) 384-9919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9900
(704) 384-9919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13016
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2022
Last updated
03/03/2023
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