Dr. Leon Archibald Dickerson Jr. is a Charlotte, North Carolina based male orthopedic surgeon who is specialized in Orthopaedic Surgery of the Spine. Active license number of Dr. Leon Archibald Dickerson Jr. is 19049 for Orthopedic Surgery in North Carolina.
Dr. Leon Archibald Dickerson Jr. deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Complete Profile:
Dr. Leon Archibald Dickerson Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopaedic Surgery of the Spine
Credentials:
MD
Gender:
Male
Practice Address:
2001 Randolph Rd, Charlotte, North Carolina, 28207-1215
Phone:
704-332-2225
Fax:
704-339-1448
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861474660
NPI Enumeration Date:
17 Nov, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Leon Archibald Dickerson Jr. are as mentioned below.
License Number
Specialization
State
Status
19049
Orthopedic Surgery
North Carolina
Primary
19049
Orthopaedic Surgery of the Spine
North Carolina
Secondary
19049
Orthopedic Surgery
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Leon Archibald Dickerson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8928461
Medicaid
North Carolina
232637
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4601 Park Rd, Credentialing Coordinator Charlotte, North Carolina
Zip:
28209-3239
Phone Number:
704-323-2000
Fax Number:
704-323-3911
Patients can reach Dr. Leon Archibald Dickerson Jr. at 2001 Randolph Rd, Charlotte, North Carolina or can call to book an appointment on 704-332-2225. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.