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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DONOVAN D DIXON, MD
812 CANDY PARK ROAD 5101
PEMBROKE, NC28372-7322
 Phone: 910-522-1143
 Fax: 910-522-1162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DONOVAN D DIXON · (Male)

NPI Number 1851582092
Credentials MD
Entity Individual
Enumeration date 08/05/2007
Last updated 02/20/2013 - About 3 years ago
Sole proprietor 1 No
Identifiers
NC License # 201001347
NY License # 237457
NC Medicaid 5916910
Medicare UPIN 2077184
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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