Individual
ETHAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-4504
(910) 907-8922
(310) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86077
TX
Other
Enumeration date
03/15/2021
Last updated
04/03/2025
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