Joan Vaughn Dickerson, MD
Pediatrics Physician · Concord, NC
Practice location
920 Church St NConcord, NC 28025-2927
- Phone
- (704) 403-3664
NPI record
- NPI
- 1033539259
- Entity type
- Individual (Type 1)
- Enumeration date
- April 28, 2014
- Last updated
- July 15, 2024
- Certified
- February 1, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
2018-02086 | NC |
| Hospitalist Physician | 208M00000X |
2018-02086 | NC |
Mailing address
PO Box 19305Charlotte, NC 28219-9305
Other practice locations (1)
- 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 28203-5866 · (704) 381-8840
About Dr. Dickerson
Joan Vaughn Dickerson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 920 Church St N, Concord, NC 28025-2927. The NPI number 1033539259 was assigned on April 28, 2014 and the record was last updated on July 15, 2024.
Dr. Dickerson lists 2 licenses in the registry: #2018-02086 (NC) for Pediatrics Physician; #2018-02086 (NC) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Joan Vaughn Dickerson, MD?
The NPI number is 1033539259.
What is the phone number of Dr. Dickerson?
The phone number listed for the practice location is (704) 403-3664.
Where is Dr. Dickerson located?
920 Church St N, Concord, NC 28025-2927.
What is the taxonomy code for Dr. Dickerson?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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