Individual
DR. CHRISTOPHER S DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 HENRY ST, GREENSBORO, NC 27405-3633
(336) 621-3777
(336) 621-8374
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
96-00515
NC
2086S0129X
Vascular Surgery Physician
Primary
96-00515
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
9600515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28540
BCBS
NC
01
—
3702461
UHC
NC
01
—
65471
MEDCOST
NC
01
—
770001071
RR MCR
NC
05
—
8928540
—
NC
Enumeration date
06/16/2005
Last updated
08/06/2021
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