Individual
MRS. PENNY S DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
323-D EAST MEADOW RD, EDEN, NC 27288-3400
(336) 623-7400
Mailing address
323-D EAST MEADOW RD, EDEN, NC 27288-3400
(336) 623-7400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
830
NC
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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