Individual
MRS. KIM DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 A O JONES BLVD, FORT MILL, SC 29715-1625
(803) 835-0012
Mailing address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R104817
SC
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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