Basic Information
| Provider Information | |||||||||
| NPI: | 1104890615 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIXON-CHERRY | ||||||||
| FirstName: | TWANNA | ||||||||
| MiddleName: | BELINDA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1886 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278891886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2529400602 | ||||||||
| FaxNumber: | 2529400605 | ||||||||
| Practice Location | |||||||||
| Address1: | 118 W MARTIN LUTHER KING JR DR | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278894906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2529400602 | ||||||||
| FaxNumber: | 2529400605 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170100000X | NC | Y | Other Service Providers | Medical Genetics, Ph.D. Medical Genetics |
No ID Information.