Dixon, Melvin
Dixon, Melvin is an sole proprietor health care provider with primary practice located at 753 N Indian Creek Dr , Clarkston GA 30021-2347. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Dixon, Melvin can be contacted via phone (404) 292-4200.Contact Information
Primary practice address
753 N Indian Creek Dr
Clarkston GA 30021-2347
Phone: (404) 292-4200
Fax: (404) 292-4247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X |
Profile Details
| NPI number | 1083672695 |
|---|---|
| LBN Legal business name | Dixon, Melvin |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Nov 6th, 2007 - 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 | 1083672695 | NPPES |
| Georgia | MEDICAID | 00846513A |
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