| NPI | 1912793118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN DIXIE President 704-439-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 133V00000X Dietitian, Registered | |
| 171400000X | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-24 |