Healthcare Provider Details

I. General information

NPI: 1972522423
Provider Name (Legal Business Name): ANNE DICKINSON ALEXANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE DICKINSON ALEXANDER M.D.

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 03/08/2020
Certification Date: 03/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 WARREN ST
GREENSBORO NC
27403-2340
US

IV. Provider business mailing address

810 WAREN STREET
GREENSBORO NC
27403-2340
US

V. Phone/Fax

Practice location:
  • Phone: 336-389-1413
  • Fax:
Mailing address:
  • Phone: 336-389-1413
  • Fax: 336-210-8409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number37996
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37996
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number19064
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: