Individual
ANDREA KAREN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2053 VALLEYGATE DR, STE. 201, FAYETTEVILLE, NC 28304-3688
(910) 484-9020
(910) 484-9012
Mailing address
2053 VALLEYGATE DR, STE. 201, FAYETTEVILLE, NC 28304-3747
(910) 484-9020
(910) 484-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200000043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89125OJ
—
NC
Enumeration date
08/17/2005
Last updated
07/19/2021
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