Individual
STEPHANIE BERRY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105
(888) 226-4343
(901) 595-3842
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57143
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
57143
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
10/27/2020
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