Individual
DARCI DICKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
48380 US 52, MISENHEIMER, NC 28108-2810
(704) 356-0639
Mailing address
PO BOX 960, MISENHEIMER, NC 28109-0960
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2973
NC
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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