Individual provider · Type 1 NPI

Leon Archibald Dickerson Jr., MD

Orthopaedic Surgery Physician · Charlotte, NC

NPI number 1861474660 Active

Practice location

2001 Randolph Rd
Charlotte, NC 28207-1215

Fax (704) 339-1448

Mailing address

4601 Park Rd, Credentialing Coordinator
Charlotte, NC 28209-3239

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician 207XS0117X19049 (NC)
Orthopaedic Surgery Physician Primary 207X00000X19049 (NC)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1861474660

Leon Archibald Dickerson Jr., MD's National Provider Identifier is 1861474660, issued on Nov 17, 2005. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 11, 2025.