Individual
KEISHA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 REILLY ROAD MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Mailing address
1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609-4971
(919) 341-4016
(910) 346-1907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03540
NC
Other
Enumeration date
06/24/2010
Last updated
06/13/2022
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