Organization
M. ALAN DICKENS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M ALAN DICKENS MD (PRESIDENT)
(919) 782-5400
Entity
Organization
Contact information
Practice address
2709 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6462
(919) 782-5400
(919) 782-1680
Mailing address
2709 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6462
(919) 782-5400
(919) 782-1680
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9500885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180025921
RAILROAD MEDICARE
NC
01
—
28509
BCBS OF NC
NC
05
—
8928509
—
NC
Enumeration date
11/10/2006
Last updated
10/11/2007
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