Individual
DR. ADA BARBARA DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, SUITE 100, CHARLOTTE, NC 28277-3174
(704) 752-2000
(704) 752-1212
Mailing address
7825 BALLANTYNE COMMONS PKWY, SUITE 100, CHARLOTTE, NC 28277-3174
(704) 752-2000
(704) 752-1212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93-00080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928729
—
NC
Enumeration date
07/22/2006
Last updated
01/04/2011
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