MEDICARE: DR. WILLIAM ALEXANDER DIX M.D.

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
1	207P00000X	Emergency Medicine Physician	35243	GA
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	35243	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1669450953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ALEXANDER DIX M.D.

Provider Business Mailing Address
First Line	:	PO BOX 48708
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30604-8708
Country	:	US
Telephone Number	:	706-543-3449
Fax Number	:	706-543-5744

Provider Business Practice Location Address
First Line	:	4017 ATLANTA HWY
Second Line	:	SUITE A
City	:	BOGART
State	:	GA
Zip	:	30622-2212
Country	:	US
Telephone Number	:	706-389-3065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	01/28/2014

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