Individual
MR. MELVIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
753 N INDIAN CREEK DR, CLARKSTON, GA 30021-2347
(404) 292-4200
(404) 292-4247
Mailing address
753 N INDIAN CREEK DR, CLARKSTON, GA 30021-2347
(404) 292-4200
(404) 292-4247
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00846513A
—
GA
Enumeration date
05/03/2006
Last updated
11/06/2007
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