Dixon, Pierce Kendal

Dixon, Pierce Kendal is an individual health care provider with primary practice located at 690 Medical Park Lane , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dixon, Pierce Kendal can be contacted via phone (770) 531-0093.

Contact Information

Primary practice address
690 Medical Park Lane Gainesville GA 30501
Phone: (770) 531-0093
Fax: (770) 535-0094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18484 Georgia

Profile Details

NPI number 1811964539
LBN Legal business name Dixon, Pierce Kendal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 4th, 2011 - about 14 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 1811964539 NPPES
Georgia MEDICAID 00960396A

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