Individual
STACEY R DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
2024 LAKE VISTA DRIVE, MOUNT HOLLY, NC 28120-9329
(704) 258-7560
(704) 310-5659
Mailing address
2024 LAKE VISTA DRIVE, MOUNT HOLLY, NC 28120-9329
(704) 258-7560
(704) 310-5659
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A3882
NC
Other
Enumeration date
11/11/2010
Last updated
05/10/2012
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