Organization
DIXON PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MICHAEL DIXON M.D. (OWNER)
(910) 762-9995
Entity
Organization
Contact information
Practice address
720 MARKET ST, WILMINGTON, NC 28401-4647
(910) 762-9995
(910) 762-2134
Mailing address
720 MARKET ST, WILMINGTON, NC 28401-4647
(910) 762-9995
(910) 762-2134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400522
UNITED HEALTHCARE
NC
01
—
129UT
BLUE CROSS BLUE SHIELD
NC
01
—
7405736001
CIGNA HEALTHCARE
NC
01
—
C2480
MEDCOST PREFERRED
NC
Enumeration date
04/20/2006
Last updated
03/21/2008
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