Individual
KENT RYAN HARDEE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5TH JANEWAY TOWER 1 MEDICAL, WINSTON SALEM, NC 27157-0001
(336) 716-0423
Mailing address
ONE MEDICAL CENTER BLVD NC 27157., WINSTON SALEM, NC 27157-0001
(252) 217-9730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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