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Individual

RITA M DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6311 GARNERS FERRY RD, COLUMBIA, SC 29209-1445
(803) 216-3959
(803) 328-0553
Mailing address
6311 GARNERS FERRY RD, COLUMBIA, SC 29209-1445
(803) 216-3959
(803) 328-0553

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1366
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366
SC LICENSE
SC
Enumeration date
11/03/2008
Last updated
11/14/2024
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