Healthcare Provider Details

I. General information

NPI: 1699731539
Provider Name (Legal Business Name): SUZANNE DAVIS DIXON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 RIDGEFIELD BLVD
ASHEVILLE NC
28806-2343
US

IV. Provider business mailing address

PO BOX 604333
CHARLOTTE NC
28260-4333
US

V. Phone/Fax

Practice location:
  • Phone: 828-670-5665
  • Fax: 828-670-5663
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2012-01465
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2012-01465
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number2012-01465
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: