Organization
W N DIXON MD PA
Active
Other names
William N Dixon MD
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NEWELL DIXON MD (PRESIDENT)
(601) 684-2481
Entity
Organization
Contact information
Practice address
1311 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-2481
(601) 684-2488
Mailing address
1311 ASTON AVE, MCCOMB, MS 39648-2825
(601) 684-2481
(601) 684-2488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
09423
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117256
—
MS
01
—
0055313
MISSISSIPPI SELECT
MS
01
—
020038952
RAILROAD MEDICARE
MS
01
—
1695751
LOUISIANA MEDICAID
LA
01
—
1730025
UNITED HEALTHCARE
MS
01
—
427063722A
BLUE CROSS BLUE SHIELD
MS
01
—
5933484
AETNA
MS
Enumeration date
08/20/2006
Last updated
02/07/2014
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