| NPI | 1508932955 |
|---|---|
| Doing Business As | JEROME A. DIXON, D.O., P.S.C. |
| Entity Type | Organization |
| Authorized Contact | JEROME A. DIXON President 270-465-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 02320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4091P) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007692) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-09-19 |