Organization
IMPERIAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L DIXON FNP (FAMILY NURSE PRACTITIONER)
(704) 617-2242
Entity
Organization
Contact information
Practice address
707 S MAIN ST, KANNAPOLIS, NC 28081
(704) 617-2242
Mailing address
707 S MAIN ST, KANNAPOLIS, NC 28081-4915
(704) 617-2242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NC
363LF0000X
Family Nurse Practitioner
Primary
206898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006567
—
NC
Enumeration date
05/05/2017
Last updated
05/22/2019
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