Organization
DIXON MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN DIXON MD (CEO)
(347) 831-1259
Entity
Organization
Contact information
Practice address
812 CANDY PARK ROAD 5101, PEMBROKE, NC 28372-7322
(910) 522-1143
(910) 522-1162
Mailing address
3771 RAMSEY ST STE 109-237, FAYETTEVILLE, NC 28311-7675
(910) 488-7777
(910) 488-7770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-01347
NC
207V00000X
Obstetrics & Gynecology Physician
201001347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919534
—
NC
Enumeration date
11/28/2011
Last updated
02/20/2013
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