Individual
JEREMY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2678 CRANSTON LN, DULUTH, GA 30096-4274
(404) 862-0455
Mailing address
2678 CRANSTON LN, DULUTH, GA 30096-4274
(404) 862-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011631
GA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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