Individual
AMANDA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
2900 ARENDELL ST, SUITE 6, MOREHEAD CITY, NC 28557-3318
(252) 622-4506
(252) 622-4512
Mailing address
2900 ARENDELL ST, SUITE 6, MOREHEAD CITY, NC 28557-3318
(252) 622-4506
(252) 622-4512
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C52596
NC
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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