Individual
DR. EDWARD ERNEST DICKERSON, IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2053 VALLEYGATE DR STE 102, FAYETTEVILLE, NC 28304-3983
(910) 323-9222
Mailing address
PO BOX 2814, BRYSON CITY, NC 28713-2814
(910) 239-7600
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9400044
NC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
9400044
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
94-00044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129FP
—
NC
Enumeration date
01/27/2006
Last updated
10/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us