Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | NC |
NPI | 1104890615 |
---|---|
Provider Name | Mrs. Twanna Belinda Dixon-Cherry |
First Address | Washington, NC 27889-1886 |
Second Address | Washington, NC 27889-4906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H91410 | (02) | NC |