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NPI Code Detail

MEDICARE: JOHN M DIXON MD PC

MEDICARE: JOHN M DIXON MD PC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1992978837
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN M DIXON MD PC
Provider Business Mailing Address
First Line : 1909 ABERDEEN ROAD
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 ROAD
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 : PRACTICE MANAGER
Name : DEBORAH S GARCIA
Credential :
Telephone Number : 229-439-7774
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/11/2008

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