Individual
MICHAEL JOHN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4235
Mailing address
527 N OAK DR, HUNTERSVILLE, NC 28078-2622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
188870
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
715
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052042
—
NC
05
—
NAN724
—
SC
Enumeration date
07/20/2006
Last updated
02/14/2023
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