Dixon, Cathy L

Dixon, Cathy L is an individual health care provider with primary practice located at 1841 N Columbia St , Milledgeville GA 31061-2382. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Dixon, Cathy L can be contacted via phone (478) 452-3593.

Contact Information

Primary practice address
1841 N Columbia St Milledgeville GA 31061-2382
Phone: (478) 452-3593
Fax: (478) 453-0016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO001648 Georgia

Profile Details

NPI number 1710049168
LBN Legal business name Dixon, Cathy L
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 13th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710049168 NPPES
Georgia Other 25391 AVESIS
Georgia MEDICAID 00897487A AVESIS
Georgia Other 100921 AVESIS
Georgia Other 07820 AVESIS

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