Individual
DR. DONOVAN D DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
812 CANDY PARK ROAD 5101, PEMBROKE, NC 28372-7322
(910) 522-1143
(910) 522-1162
Mailing address
3771 RAMSEY STREET, SUITE 109-237, FAYETTEVILLE, NC 28311-7675
(347) 452-9437
(910) 488-7770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237457
NY
207V00000X
Obstetrics & Gynecology Physician
201001347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5916910
—
NC
Enumeration date
08/05/2007
Last updated
02/20/2013
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