Provider Demographics
NPI:1720415664
Name:DIXON, CHRISTOPHER LAWRENCE (NP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LAWRENCE
Last Name:DIXON
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 HUNTINGTON LN
Mailing Address - Street 2:
Mailing Address - City:HEISKELL
Mailing Address - State:TN
Mailing Address - Zip Code:37754-2631
Mailing Address - Country:US
Mailing Address - Phone:207-608-5570
Mailing Address - Fax:
Practice Address - Street 1:115 GRESHAM RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-3209
Practice Address - Country:US
Practice Address - Phone:207-608-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians