Dixon, Michelle Louise

Dixon, Michelle Louise is an individual health care provider with primary practice located at 755 Old Norcross Rd , Lawrenceville GA 30046-4317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Dixon, Michelle Louise can be contacted via phone (770) 277-6725.

Contact Information

Primary practice address
755 Old Norcross Rd Lawrenceville GA 30046-4317
Phone: (770) 277-6725
Fax: (770) 277-9169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X RN170285 Georgia

Profile Details

NPI number 1821320003
LBN Legal business name Dixon, Michelle Louise
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2010
Last updated Feb 12th, 2010 - about 15 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 1821320003 NPPES
Georgia MEDICAID 195536290A

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