Dixon, Marla Teat

Dixon, Marla Teat is an individual health care provider with primary practice located at 2324 Limestone Overlook , Gainesville GA 30501-7443. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Dixon, Marla Teat can be contacted via phone (770) 536-8109.

Contact Information

Primary practice address
2324 Limestone Overlook Gainesville GA 30501-7443
Phone: (770) 536-8109
Fax: (770) 536-3203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004138 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004138 Georgia

Profile Details

NPI number 1598814469
LBN Legal business name Dixon, Marla Teat
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 7th, 2021 - about 4 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 1598814469 NPPES
Georgia MEDICAID 654547969A

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