Individual
COLLIN ANDERS DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-4911
Mailing address
101 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-4911
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-02366
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
09/10/2024
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