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Individual

MR. JOSEPH DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3787 SHIPYARD BLVD, WILMINGTON, NC 28403-6148
(910) 332-3800
Mailing address
3787 SHIPYARD BLVD, WILMINGTON, NC 28403-6148
(910) 332-3800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235464017
CHAMPUS
NC
05
1235464017
NC
Enumeration date
10/12/2009
Last updated
10/21/2023
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