Individual
PAUL J DICKINSON
Active
Individual
PAUL J DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200000395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126RM
BCBS
NC
05
—
1844037000
—
WV
01
—
36484
PARTNERS
NC
05
—
6301371
—
VA
01
—
7807337
AETNA
NC
05
—
89126RM
—
NC
01
—
98182
MEDCOST
NC
05
—
Q00398
—
SC
Enumeration date
11/28/2005
Last updated
08/20/2010
Update your record
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