Individual
CLAYTON DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 100, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
Mailing address
15311 IRIS LN, MONTCLAIR, VA 22025-1015
(703) 915-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
07/22/2022
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