Dix, Barry R
Dix, Barry R is an individual health care provider with primary practice located at 6507 Professional Pl , Riverdale GA 30274-4941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dix, Barry R can be contacted via phone (770) 991-2100.Contact Information
Primary practice address
6507 Professional Pl
Riverdale GA 30274-4941
Phone: (770) 991-2100
Fax: (770) 991-1180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 025964 | Georgia |
Profile Details
| NPI number | 1184686867 |
|---|---|
| LBN Legal business name | Dix, Barry R |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Feb 25th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184686867 | NPPES |
| Georgia | MEDICAID | 00363052G |
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