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NPI Code Detail

MEDICARE: CHRISTOPHER A DIXON DO

MEDICARE: CHRISTOPHER A DIXON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician200301107NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22401832EOTHERNCMEDICARE PTAN
32401832COTHERNCMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366447344
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER A DIXON DO
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD
Second Line : SUITE 130
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-882-0706
Fax Number : 919-873-9821
Provider Business Practice Location Address
First Line : 9104 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-7994
Country : US
Telephone Number : 910-686-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/09/2015

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Directions to “ CHRISTOPHER A DIXON DO” Practice Location

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