Provider Demographics
NPI:1649512583
Name:NIXON, WILLIAM PRESTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PRESTON
Last Name:NIXON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JASMINE CT
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28480-1924
Mailing Address - Country:US
Mailing Address - Phone:910-520-1509
Mailing Address - Fax:
Practice Address - Street 1:2 JASMINE CT
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28480-1924
Practice Address - Country:US
Practice Address - Phone:910-520-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17157207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology