IndividualActive
Alissa Dickerson, PA-C
NPI 1104854181 · Physician Assistant · Charleston, SC
Provider details
- NPI number
- 1104854181
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- A982 (SC)
Practice location
21 Gamecock Ave Ste E
Charleston, SC 29407-3368
Phone: (843) 763-9664
Fax: (843) 763-2949
Mailing address
779 Condon Dr
Charleston, SC 29412-4703
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.