Individual
MR. DOUGLAS MICHAEL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
720 MARKET ST, WILMINGTON, NC 28401-4647
(910) 762-9995
(910) 762-2134
Mailing address
720 MARKET ST, WILMINGTON, NC 28401-4647
(910) 762-9995
(910) 762-2134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400522
UNITED HEALTHCARE
NC
01
—
129UT
BLUE CROSS BLUE SHIELD
NC
01
—
7405736001
CIGNA HEALTHCARE
NC
01
—
C2480
MEDCOST PREFERRED
NC
Enumeration date
03/21/2008
Last updated
03/21/2008
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