Individual
RENEE K. DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8141
(410) 328-0177
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8141
(410) 328-0177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.089310
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D74375
MD
207RP1001X
Pulmonary Disease Physician
D74375
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2760034
—
OH
05
—
945619800
—
MD
01
—
S062-0575
CAREFIRST BC/BS
MD
Enumeration date
04/17/2007
Last updated
08/31/2015
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