Individual
TAMERA HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2905 N ELM ST, LUMBERTON, NC 28358-2982
(910) 738-8154
(910) 671-8818
Mailing address
PO BOX 2370, LUMBERTON, NC 28359-2370
(910) 738-8154
(910) 671-8818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009-01552
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2009-01552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100403500C
—
KS
01
—
103450
BCBS
KS
01
—
P00109537
RAILROAD MEDICAR
—
Enumeration date
01/21/2006
Last updated
02/05/2010
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