Individual
DR. LORETTA ANNE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
281 E MAIN ST, FOREST CITY, NC 28043-3126
(828) 245-6400
(828) 245-3838
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 650-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-00771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912627
—
NC
01
—
A0095
MEDCOST
SC
01
—
P01445421
RAILROAD MEDICARE
SC
Enumeration date
01/23/2006
Last updated
12/21/2020
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