Healthcare Provider Details

I. General information

NPI: 1619141934
Provider Name (Legal Business Name): DIXON CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 OLD HIGHWAY 84 NO 1
NATCHEZ MS
39120-8474
US

IV. Provider business mailing address

PO BOX 764
WASHINGTON MS
39190-0764
US

V. Phone/Fax

Practice location:
  • Phone: 225-772-6807
  • Fax: 318-445-1105
Mailing address:
  • Phone: 225-772-6807
  • Fax: 318-445-1105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number113330
License Number StateMS

VIII. Authorized Official

Name: CALVIN LIONEL DIXON
Title or Position: OWNER
Credential: RRT
Phone: 225-772-6807