| Doctor Name: | WOODWARD R DIXON |
| NPI Number: | 1710987185 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 23744 |
| Business Practice Address: | 2318 Sunset Blvd Agape Physicians Care West Columbia, SC - 291694716 |
| Business Phone Number: | 8034543510 |
| Business Fax Number: | 8034542368 |
| Mailing Address: | 1624 Main Street, Agape Senior Primary Care, Inc., Dba Agape Physicians C COLUMBIA |
| State: | SC |
| Postal Code: | 29201 |
| Phone Number: | 8034540365 |
| Fax Number: | 8034046000 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23744 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |