Mr. Willie Nathaniel Dixon

NPI 1063544096

Information of Mr. Willie Nathaniel Dixon

The NPI 1063544096 is an Individual type. NPI No 1063544096 belongs to Willie Nathaniel Dixon. Mr. Willie Nathaniel Dixon specializes in Assisted Living Facility. He is practising at 2817 Tilghman Rd N, Wilson, North Carolina 27896. You can also contact him via phone number (252) 243-9827.

Practice address located

  • 2817 Tilghman Rd N
  • Wilson, North Carolina 27896
  • (252) 243-9827
  • (252) 243-9827

Mailling address located

  • 2817 Tilghman Rd N
  • Wilson, North Carolina 27896
  • (252) 243-9827
  • (252) 291-9448
NPI No 1063544096
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes310400000XAssisted Living FacilityFCL-098-00North Carolina
Identifier for this provider
StateIdentifierTypeIssuer
NC7801424Medicaidn/a
Similar NPIs No