Individual
PAUL J DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7994
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7994
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
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