Provider Demographics
NPI:1013185479
Name:DIXON, NATALIE BROWN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:BROWN
Last Name:DIXON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1133 PENDLETON ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2317
Practice Address - Country:US
Practice Address - Phone:864-467-3650
Practice Address - Fax:864-241-9277
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104526363A00000X
SCPA1350363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4697OtherMEDICAID GROUP
SC8768OtherMEDICARE GROUP
SCPENDINGMedicaid