Organization
CAPE FEAR AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ERNEST DICKERSON IV MD (OWNER)
(910) 323-3757
Entity
Organization
Contact information
Practice address
2053 VALLEYGATE DR, STE. 102, FAYETTEVILLE, NC 28304-3688
(910) 323-3757
(910) 323-9247
Mailing address
PO BOX 2814, BRYSON CITY, NC 28713-2814
(910) 239-7600
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
NC
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/20/2007
Last updated
07/14/2021
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