Individual
ANDRE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2624 ORTHO DR W, WILSON, NC 27893-3484
(252) 991-5261
Mailing address
2624 ORTHO DR W, WILSON, NC 27893-3484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.027720
OH
207RX0202X
Medical Oncology Physician
Primary
BP10068537
TX
Other
Enumeration date
04/07/2016
Last updated
06/30/2021
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