NPI 1043002470

Dezrick Omont Dixon

Practitioner Peer Specialist Durham, NC

Practice location

Address: 112 Broadway St, Durham, NC 27701-2402
Phone: (919) 949-3330
Mailing address: 4207 Oran Ave APT B, Durham, NC 27704-8032

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2025-13014-01 (NC)

Other Peer Specialist providers in North Carolina →

Registry record

NPI: 1043002470
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2025
Record last updated: 21 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.