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NPI Code Detail

MEDICARE: DR. CARLA YVONNE BEDFORD-DIXON M.D.

MEDICARE:  DR. CARLA YVONNE BEDFORD-DIXON  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
1207Q00000XFamily Medicine Physician4301063729MI
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician60239GA

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 : 1801849716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLA YVONNE BEDFORD-DIXON M.D.
Provider Business Mailing Address
First Line : 1123 RALPH DAVID ABERNATHY BLVD SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1729
Country : US
Telephone Number : 404-346-3487
Fax Number : 404-752-0033
Provider Business Practice Location Address
First Line : 13010 MORRIS RD STE 600
Second Line :
City : ALPHARETTA
State : GA
Zip : 30004-5096
Country : US
Telephone Number : 678-269-4743
Fax Number : 678-269-4745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/12/2026

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Directions to “ DR. CARLA YVONNE BEDFORD-DIXON M.D.” Practice Location

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