Dixon, El-Roy

Dixon, El-Roy is an individual health care provider with primary practice located at 806 N Jefferson St , Albany GA 31701-2363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dixon, El-Roy can be contacted via phone (229) 439-7700.

Contact Information

Primary practice address
806 N Jefferson St Albany GA 31701-2363
Fax: (229) 439-7283
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 040367 Georgia

Profile Details

NPI number 1053319731
LBN Legal business name Dixon, El-Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 12th, 2015 - about 9 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 1053319731 NPPES
Georgia MEDICAID 000656719J
Georgia MEDICAID 000656719I
Georgia MEDICAID 000656719H

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