Individual
CRYSTAL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9231 MEDICAL PLAZA DR STE E, N CHARLESTON, SC 29406-9101
(843) 572-7715
Mailing address
9231 MEDICAL PLAZA DR STE E, N CHARLESTON, SC 29406-9101
(843) 572-7715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19684
SC
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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