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Individual

DR. BYRON DUANE DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 277700, ATLANTA, GA 30384-7700
(440) 717-6600
(440) 546-8381

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243
VA
207P00000X
Emergency Medicine Physician
Primary
32960
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329601
SC
05
5917301
NC
01
P00924412
RAILROAD MEDICARE
SC
Enumeration date
06/21/2007
Last updated
05/20/2021
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