Individual
MS. NATALIE BROWN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2905 WHITE HORSE RD, GREENVILLE, SC 29611-6120
(864) 331-0560
(864) 241-9277
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1350
SC
363A00000X
Physician Assistant
PA9104526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8768
MEDICARE GROUP
SC
01
—
GP4697
MEDICAID GROUP
SC
05
—
PENDING
—
SC
Enumeration date
02/19/2008
Last updated
07/22/2024
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