Individual
TERRIE B. DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1422 CLEVELAND AVE, EAST POINT, GA 30344-6983
(404) 766-3337
(404) 766-1464
Mailing address
1422 CLEVELAND AVE, EAST POINT, GA 30344-6983
(404) 766-3337
(404) 766-1464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
748138987A
—
GA
Enumeration date
11/22/2006
Last updated
06/08/2010
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