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NPI Code Detail

MEDICARE: JOHN M DIXON MD P C

MEDICARE: JOHN M DIXON MD P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician15926GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669460325
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN M DIXON MD P C
Provider Business Mailing Address
First Line : 1909 ABERDEEN RD
Second Line : SUITE 108
City : ALBANY
State : GA
Zip : 31701-1300
Country : US
Telephone Number : 229-439-7774
Fax Number : 229-883-8586
Provider Business Practice Location Address
First Line : 1909 ABERDEEN RD
Second Line : SUITE 108
City : ALBANY
State : GA
Zip : 31701-1300
Country : US
Telephone Number : 229-439-7774
Fax Number : 229-883-8586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 04/09/2008

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