Individual
MRS. DIXIE LEE BHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18901 IDA MILL RD, LAUREL HILL, NC 28351-8326
(910) 462-2707
(910) 462-4184
Mailing address
18901 IDA MILL RD, LAUREL HILL, NC 28351-8326
(910) 462-2707
(910) 462-4184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101560
NC PA LICENSE NUMBER
NC
Enumeration date
07/08/2005
Last updated
03/07/2023
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