Individual
DR. LOUIS JOSEPH DIX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 BROAD STREET POWELL BUILDING OFC 205-C, CENTRAL STATE HOSPITAL, MILLEDGEVILLE, GA 31062-7525
(478) 445-7239
(478) 445-1329
Mailing address
1525 KENZIE CT, SUWANEE, GA 30024-2812
(770) 623-1875
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001937
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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