Individual
DR. JERI ELIZABETH DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
131 E MARKET ST, SMITHFIELD, NC 27577
(919) 934-5441
Mailing address
131 E MARKET ST, SMITHFIELD, NC 27577
(919) 934-5441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2010-00852
NC
208600000X
Surgery Physician
AB22180771666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB22108771666
TRAINING ID
TX
Enumeration date
05/18/2007
Last updated
07/14/2010
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