Individual
BRIDGETTE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 765-9328
Mailing address
PO BOX 75332, ATTN: LISA BROWER, CHARLOTTE, NC 28275-0332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0100-05100
NC
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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