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Individual

DR. LEON ARCHIBALD DICKERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 RANDOLPH RD, CHARLOTTE, NC 28207-1215
(704) 332-2225
(704) 339-1448
Mailing address
4601 PARK RD, CREDENTIALING COORDINATOR, CHARLOTTE, NC 28209-3239
(704) 323-2000
(704) 323-3911

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19049
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
19049
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
232637
SC
05
8928461
NC
Enumeration date
11/17/2005
Last updated
09/11/2025
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