Individual
NATALIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2007-01070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146F3
BCBS
—
05
—
1629269956
—
VA
01
—
202018
MEDCOST
—
05
—
3810009588
—
WV
05
—
5907504
—
NC
01
—
810635
PARTNERS
—
01
—
9945074
AETNA
—
05
—
Q70008
—
SC
Enumeration date
08/01/2007
Last updated
01/11/2012
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