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Individual

DR. TERRY CARLYLE DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(432) 484-7008
Mailing address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31824
SC
208000000X
Pediatrics Physician
Primary
31824
SC
2080P0208X
Pediatric Infectious Diseases Physician
200401048
NC
2080P0208X
Pediatric Infectious Diseases Physician
31824
SC

Other

Enumeration date
04/29/2008
Last updated
08/20/2024
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