Dixon Medical Clinic,inc

NPI #1295889111 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1295889111
Entity Type: Organization
Organization Name: Dixon Medical Clinic,inc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2007
Last Updated: Jan 4, 2008

Practice Location

Address: 4750 NORTH BLVD
City: Baton Rouge
State: Louisiana
ZIP Code: 70806-4016
Phone: (225) 218-0703

Authorized Official

Name: DR. HENRY CHARLES DIXON III, M.D.
Title: CHIEF OPERATING OFFICER
Phone: (225) 218-0703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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