Organization
SOUTHERN SMOKIES RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R. DIXSON (PRESIDENT)
(828) 837-0990
Entity
Organization
Contact information
Practice address
4130 E US HIGHWAY 64, MURPHY, NC 28906-6845
(828) 835-7645
Mailing address
93 FAMILY CHURCH RD, STE. C, MURPHY, NC 28906-8846
(828) 837-0990
(828) 837-4376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166866
TENNCARE
TN
01
—
02566
BCBS GROUP ROVIDER #
NC
01
—
28713
BCBS INDIVIDUAL PROVIDER
NC
05
—
8902566
—
NC
Enumeration date
07/06/2007
Last updated
02/20/2009
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