Individual
MACY JOHNSON DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
160 RIVER BEND DR STE A, GRANITE FALLS, NC 28630-9371
(828) 757-5060
Mailing address
403 LOWER CREEK DR NE, LENOIR, NC 28645-4433
(828) 612-4218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014866
NC
Other
Enumeration date
08/11/2021
Last updated
11/20/2023
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