Individual
WILLIAM HENRY DIXON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1603 BATTLEGROUND AVE STE C, GREENSBORO, NC 27408-8050
(336) 541-6801
Mailing address
5725 BRAMBLEGATE RD UNIT J, GREENSBORO, NC 27409-3017
(336) 908-1732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11743
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11743
LMBT (LICENSED MASSAGE AND BODYWORK THERAPIST)
NC
Enumeration date
04/18/2018
Last updated
04/18/2018
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