Organization
DIXON MEDICAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY CHARLES DIXON III M.D. (CHIEF OPERATING OFFICER)
(225) 218-0703
Entity
Organization
Contact information
Practice address
4750 NORTH BLVD, BATON ROUGE, LA 70806-4016
(225) 218-0703
(225) 218-1155
Mailing address
4730 NORTH BLVD, SUITE A, BATON ROUGE, LA 70806-4016
(225) 218-0703
(225) 218-1155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
01/04/2008
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