Kristin Lynn Dickson, MD | |
111 Gateway Center Drive, Kernersville, NC 27284-2999 | |
(336) 996-9500 | |
(336) 996-2354 |
Full Name | Kristin Lynn Dickson |
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Gender | Female |
Speciality | Pediatrics |
Location | 111 Gateway Center Drive, Kernersville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427344985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 2014-01256 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Kristin Lynn Dickson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Kristin Lynn Dickson, MD 111 Gateway Center Drive, Kernersville, NC 27284-2999 Ph: (336) 996-9500 |
Rebecca P Ball, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 861 Old Winston Rd Ste 101, Kernersville, NC 27284 Phone: 336-904-0143 Fax: 336-904-0046 | |
George Kirk Walker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Broad St, Kernersville, NC 27284 Phone: 336-993-8333 Fax: 336-993-5144 | |
Leslie Rierson Smith, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 861old Winston Road, Suite 103, Kernersville, NC 27284 Phone: 336-802-2300 Fax: 336-802-2301 | |
Shelley Rickman, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 861 Old Winston Rd Ste 103, Kernersville, NC 27284 Phone: 336-802-2300 | |
Amy Jo Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 861 Old Winston Rd Ste 101, Kernersville, NC 27284 Phone: 336-904-0143 Fax: 336-904-0046 | |
Cathy Marie Soldato-couture, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Broad St, Kernersville, NC 27284 Phone: 336-993-8333 Fax: 336-993-5144 |