Individual
SHANQUELL MARIDA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T-5979
MS
2086S0120X
Pediatric Surgery Physician
Primary
48765
AL
Other
Enumeration date
04/12/2022
Last updated
07/20/2026
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