Provider Demographics
NPI:1770081374
Name:DIXON, BRION LINDSAY (PA-C)
Entity type:Individual
Prefix:MR
First Name:BRION
Middle Name:LINDSAY
Last Name:DIXON
Suffix:
Gender:M
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 1:1363 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2804
Mailing Address - Country:US
Mailing Address - Phone:828-698-5757
Mailing Address - Fax:828-698-5799
Practice Address - Street 1:1363 7TH AVE E
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2804
Practice Address - Country:US
Practice Address - Phone:828-698-5757
Practice Address - Fax:828-698-5799
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-07822363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant