Individual
DIXIE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, SURGERY DEPT, BOSTON, MA 02215-3904
(617) 421-8749
(617) 421-2236
Mailing address
133 BROOKLINE AVE, SURGERY DEPT, BOSTON, MA 02215-3904
(617) 421-8749
(617) 421-2236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
014156
ME
208600000X
Surgery Physician
Primary
70497
MA
208600000X
Surgery Physician
G87842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110014264A
—
MA
Enumeration date
10/25/2005
Last updated
10/03/2011
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