Willie Nathaniel Dixon

NPI 1063544096 - Assisted Living Facility - 310400000X

NPI Details
NPI 1063544096
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2817 TILGHMAN RD N
WILSON NC, 27896-8908, US
Phone (252) 243-9827
Fax (252) 291-9448
Business Location
2817 TILGHMAN RD N
WILSON NC, 27896-8908, US
Phone (252) 243-9827
Fax (252) 291-9448
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number FCL-098-009
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According to our database, Mr. Willie Nathaniel Dixon NPI is 1063544096, taxonomy code is 310400000X and license number is FCL-098-009, license state is located at North Carolina. Willie Nathaniel Dixon physically located at 2817 Tilghman Rd N, Wilson NC, 27896-8908. NPI Number Willie Nathaniel Dixon has the Individual type.

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1063544096 NPI number is provided on an as is basis without warranty of any kind. 1063544096 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Nathaniel Dixon are for informational purposes only.