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Individual

ELIZABETH M DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3925 JOHNS CREEK COURT, SUTIE A, SUWANEE, GA 30024
(770) 709-6922
(770) 709-6910
Mailing address
4025 ANSON AVE, ALPHARETTA, GA 30022-1134
(502) 435-0198
(770) 709-6910

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
070877
GA
207Q00000X
Family Medicine Physician
35.134792
OH
207Q00000X
Family Medicine Physician
58114
TN
207Q00000X
Family Medicine Physician
61985
CT
207Q00000X
Family Medicine Physician
C1-0012870
DE
207Q00000X
Family Medicine Physician
ME138304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000381952
ANTHEM - NICC
01
000000756575
ANTHEM- NCMA
KY
01
023757
SIHO
KY
05
201055170
IN
01
50037115
PASSPORT
KY
05
64273162
KY
01
P00293086
RAILROAD MEDICARE
KY
Enumeration date
04/21/2006
Last updated
08/19/2019
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