Individual
BRYCE W DIXON
Active
Individual
BRYCE W DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16016
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063020
BLUE CROSS BLUE SHIELD
TN
01
—
110039064
RR MEDICARE
TN
05
—
3023736
—
TN
01
—
4082717
AETNA
TN
Enumeration date
06/16/2006
Last updated
10/16/2014
Update your record
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